Trademark Registration Request Form

We will contact you within 1-2 days with an estimate for your review.

All information provided will be kept confidential.

Applicant/Requestor Details
Name(Required)
First Last
Email(Required)
Phone
Company
Trademark Details
What do you want to register?(Required)
- Word Mark
- Logo/Device Mark
- Combination
- Unsure
The tradmark text/wording (as it should appear)
Is the mark currently in use?
- Yes
- No
Date of first use

Day
Month
Year
Where is/will the mark be used?(Required)
I.e. Australia only or international jurisdictions also; If so, which ones.
Goods & Services
Provide brief description of the goods and/or services the mark covers(Required)
Additional Information
Please advise of any additional information related to this mark that you think we should know.
File Upload(Required)
Please upload a copy of the logo(s) you wish to register as a trademark (if relevant)
Drop files here or

Accepted file types: jpg, png, doc, docx, pdf, Max. file size: 8 MB.

Applicant/Requestor Details