Confirmation

I hereby request Merk-Echt B.V.:
to file application for registration of:
to renew:
to perform monitoring services of: 		 The trademark:
Details:
Benelux registration number*
Company name *
Contact person *
Address
Zip Code
Place (city, Country)
Phone number *
Mobile number
Fax number *
e-mail *
Please note that we accept ONLY company e-mail addresses for the free search. We regret that we cannot accept addresses such as Hotmail, Yahoo, Gmail or AOL.
Website
Please name the products and/or services for which you wish to register your trademark**:
Logotype (image):
If you are responding to a mailing of Merk-Echt B.V. we kindly request you to note the reference number (see under answer fax) here below:


* = only to be filled in for request of renewal or trademark monitoring service
** = only to be filled in for request of a trademark application

Merkbescherming, bewaking van uw merk
print       sitemap