CERTIFICATION
MARK APPLICATION
PRINCIPAL
REGISTER
REGISTRATION
OF CERTIFICATION MARK IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
Mark: ______________________________
Class: (Check One) ( ) A. GOODS ( ) B.
SERVICES
TO
THE COMMISSIONER OF PATENTS AND TRADEMARKS:
(Insert
identification of applicant)
The
above identified applicant has adopted and is exercising legitimate control
over the use of the certification mark shown in the accompanying drawing for
_____________________________________________________________ (Insert
Illustrative Examples of the Goods or Services) and requests that such mark be
registered in the United States Patent and Trademark Office on the Principal
Register established by the Act of July 5, 1946.
The
certification mark, as used by persons authorized by applicant, certifies
_______________________________; the mark was first used under the authority of
applicant on ____________ (Date); was first used in ________________________
(Type of Commerce) commerce on _________________ (Date); and is now in use in
such commerce.
(Except
with respect to geographical terms as indications of regional origin, which are
exempt from refusal on the basis of descriptiveness, if mark is other than a
coined, arbitrary or fanciful mark, and mark is believed to have acquired a
secondary meaning, insert whichever of the following paragraphs is
applicable: The mark has become
distinctive of applicant’s certification activity as a result of substantially
exclusive and continuous use in _________________________ (Type of Commerce)
commerce for the five years next preceding the date of the filing of this
application or the mark has become distinctive of applicant’s certification
activity as evidenced by the showing submitted separately.)
The
mark is used by applying it to ____________________________ (Insert Manner or
Method that the Mark is Used with the Goods, for example: the goods or the containers for the goods or
displays associated with the goods or tags or labels affixed to the goods or
other method that may be in use; or state the manner or method the mark is used
in the sale or advertising of the services), and five specimens showing the
mark as actually used are presented herewith.
Applicant
is not engaged in the production or marketing of any goods or services to which
the mark is applied.
(Insert
appropriate verification or declaration and add, after the word association the
words other than those authorized by applicant.)
Attach
designation of domestic representative, if necessary.