Trademark Coexistence Agreement Request Form

Trademark Coexistence Agreement Request Form
Use this form to submit the information needed to review a request for trademark coexistence between parties.
Applicant Information
Full Name
First NameLast Name
Job Title / Role
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Trademark Details
Trademark Name
Trademark Owner Name
First NameLast Name
Jurisdiction or Territory
Current Status
Other
Coexistence Request Details
Requested Counterpart Trademark or Party Name
Applicant's Goods/Services Covered
Other Party's Goods/Services Covered
Reason for Requesting Coexistence
Requested Territory or Market Limitations
Request Type
Other
Should be Empty: