Trade Dress Online Secure Order Form
Federal Level:
Trade Dress w/Design $909.95
Trade Dress w/Design in color $1109.95
None

State Level:
Trade Dress w/Design $399.95
Trade Dress w/Design in color $499.95
None

State to Register Trade Dress:
Shipping and Handling:
Standard - $17.95
Overnight - $30.95

Preparation Time:
Standard Service (Allow 2 weeks for Processing)
Express Service Add - $75.00


ALL Government filing fees are included.

Name of Trade Dress Material
Previous or alternate names of trade dress material Describe in detail the trade dress item
Was this a work made for hire?  (If yes, Author or Developer is the Employer) YES   NO
Author or Developer's Name Author or Developer's Date of Birth
Country of Author or Developer's Citizenship Author or Developer's Contribution was
Secondary Author or Developer's Name Author or Developer's Date of Birth
Country of Author or Developer's Citizenship Author or Developer's Contribution was
Additional Author or Developer's Name Author or Developer's Date of Birth
Country of Author or Developer's Citizenship Author or Developer's Contribution was
Are there any additional Author or Developers? YES   NO  
Trade Dress Claimant
(Trade Dress Owner) 		If claimant and author or developer are different how did claimant obtain ownership?
How is this trade dress used? (ex. for profit, for information, for marketing, etc...) Date of Creation
Date of First Publication (complete only if work is published) Nation of First Publication (complete only if work is published)
Has registration for this work, or an earlier version of this work, already been made? YES  NO
If "yes" why is another trade dress being sought?
If "yes" Previous Registration Number Year of Registration
Describe any preexisting work that this work is based on Describe any material added to this work and in which trade dress is claimed
Do you give permission for the Library of Congress to reproduce this work for the physically handicapped through copies with Braille or through phonorecords? Braille
Phonorecords		Both
Neither
Name of Person Registering Email Address
Telephone Number Fax Number
Cell Phone Number
Primary Address   

BILLING INFO

Payment Options: You may pay with any valid credit card or you may process your order with your PayPal account. First select your payment option. Then enter your credit card number, if paying with a credit card or if paying with PayPal, enter an email address associated with your PayPal account. No charges are ever processed or requested until we speak with you first.
Select a Payment Option:

Name (as appears on card)        
Billing Address

CREDIT CARD DETAILS
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PayPal Email Address:
PayPal Payment Instructions: If you are going to process your order with a PayPal account, provide us with the email address associated with your account. No charges are ever processed or requested until we speak with you first.

Enter Credit Card Expiration Date:
Month    Year


Current Total:
* Note:  We can only ship to the billing address.
**Note:  Government filing fees are  included.