Fill and Sign the 71 Trademarkapplicationforregistrationdoc Form

P:\New rademark\71-Trademark_Application_for_Registration.doc Revised: 8/29/2006 STATE OF MONTANA APPLICATION for REGISTRATION of MARK (Trademark - Service Mark) MAIL: BRAD JOHNSON Secretary of State P.O. Box 202801 Helena, MT 59620-2801 PHONE: (406)444-3665 FAX: (406)444-3976 Prepare, sign, submit with an original signature and filing fee This is the minimum information required (This is space for use by the Secretary of State only) WEB SITE: sos.mt.gov Filing Fee: $20.00 24 Hour Priority Filing Add $20.00 1 Hour Expedite Filing Add $100.00 For the purpose of registering a mark in the State of Montana, according to the provision of 30-13-311, MCA, the undersigned submits the following statements of fact to the Secretary of State: 1. The words, letters, numbers “with design” or “design only” are: 2. Three specimens (photocopies are acceptable) showing the mark actually used are attached OR check this box if you wish to trademark the words only (no specimens required) †. 3. The goods or services connected with the mark are: 4. (Mode or manner means how the mark is used or where it is located on goods or related to services.)The mode or manner in which the mark is used in connection with the goods or services is: 5. Class Number Identify the number(s) of the class(s) that best describes the goods or services from list on back of page. PLEASE NOTE: A separate registration form must be used and an additional registration fee must be submitted for each class if you are registering more than one class for this mark. 6. Complete BOTH A. and B below! The date the mark was first used by the applicant or the predecessor in the same business is: A) Date first used ANYWHERE B) Date first used in MONTANA (Mo/Day/Yr) (Mo/Day/Yr) Date first used anywhere must be the same or earlier than the date first used in Montana. 7. The name and street address of the applicant is: (Street address) (City or town) (Zip code) 8. The applicant is: † An individual. † A corporation. Identify name of state where incorporated. † An association. Attach names of members and state of organization. † A partnership .Attach the names of partners and state of organization. † A limited liability company. Identify the state of organization. † A limited liability partnership. Identify the state of organization. † A limited partnership. Identify the state of organization. 9. The applicant states, under penalty of perjury, that the applicant is the owner of the mark, that the mark is in use, and that, to the knowledge of the person verifying the application, no other person has registered the mark, either federally or in this state, or has the right to use the mark either in the identical form or in a form that so nearly resembles the mark as to be likely, when applied to the goods or services of the other person, to cause confusion, to cause mistake, or to deceive. Signature and title Date Must be signed by the applicant or a member of the firm or Limited Liability Company or an officer of the corporation or association applying for the trademark registration. P:\New rademark\71-Trademark_Application_for_Registration.doc Revised: 9/1/2006 GENERAL CLASSES OF GOODS & SERVICES ADOPTED FROM THE UNITED STATES PATENT AND TRADEMARK OFFICE A SINGLE APPLICATION FOR REGISTRATION OF A MARK MAY INCLUDE ANY OR ALL GOODS UPON WHICH, OR SERVICES WITH WHICH, THE MARK IS ACTUALLY BEING USED INDICATING THE APPROPRIATE CLASS OR CLASSES OF GOODS OR SERVICES. When a single application includes goods or services that fall within multiple classes, the applicant must use more than one form and list one class per form. The applicant will be required to pay the additional registration amount for each class and each form. GOODS 1. Chemicals used in industry, science and photography, as well as in agriculture, horticulture and forestry; unprocessed artificial resins, unprocessed plastics; manures; fire extinguishing compositions; tempering and soldering preparations; chemical substances for preserving foodstuffs; tanning substances; adhesives used in industry. 2. Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants; mordents; raw natural resins; metals in foil and powder form for painters, decorators, printers and artists. 3. Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. 4. Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles and wicks for lighting. 5. Pharmaceutical and veterinary preparations; sanitary preparations for medical purposes; dietetic substances adapted for medical use, food for babies; plasters, materials for dressings; material for stopping teeth, dental wax; disinfectants; preparations for destroying vermin; fungicides, herbicides. 6. Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; non-electric cables and wires of common metal; ironmongery, small items of metal hardware; pipes and tubes of metal; safes; goods of common metal not included in other classes; ores. 7. Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. 8. Hand tools and implements (hand operated); cutlery; side arms; razors. 9. Scientific, nautical, surveying, photographic, cinematographic, optical, weighing, measuring, signaling, checking (supervision), lifesaving and teaching apparatus and instruments; apparatus and instruments for conducting, switching, transforming, accumulating, regulating or controlling electricity; apparatus for recording, transmission or reproduction of sound or images; magnetic data carriers, recording discs; automatic vending machines and mechanisms for coin operated apparatus; cash registers, calculating machines, data processing equipment and computers; fire-extinguishing apparatus. 10. Surgical, medical, dental and veterinary apparatus and instruments, artificial limbs, eyes and teeth; orthopedic articles; suture materials. 11. Apparatus for lighting, heating, steam generating, cooking, refrigerating, drying, ventilating, water supply and sanitary purposes. 12. Vehicles; apparatus for locomotion by land, air or water. 13. Firearms; ammunition and projectiles; explosives; fireworks. 14. Precious metals and their alloys and goods in precious metals or coated therewith, not included in other classes; jewelry, precious stones; horological and chronometric instruments. 15. Musical instruments. P:\New rademark\71-Trademark_Application_for_Registration.doc Revised: 9/1/2006 16. Paper, cardboard and goods made from these materials, not included in other classes; printed matter; bookbinding material; photographs; stationery; adhesives for stationery or household purposes; artists’ materials; paint brushes; typewriters and office requisites (except furniture); instructional and teaching material (except apparatus); plastic materials for packaging (not included in other classes); printers’ type; printing blocks. 17. Rubber, gutta-percha, gum, asbestos, mica and goods made from these materials and not included in other classes; plastics in extruded form for use in manufacture; packing, stopping and insulating materials; flexible pipes, not of metal. 18. Leather and imitations of leather, and goods made of these materials and not included in other classes; animal skins, hides; trunks and traveling bags; umbrellas, parasols and walking sticks; whips, harness and saddelry. 19. Building materials (nonmetallic); nonmetallic rigid pipes for building; asphalt, pitch and bitumen; nonmetallic transportable buildings; monuments, not of metal. 20. Furniture, mirrors, picture frames; goods (not included in other classes) of wood, cork, reed, cane, wicker, horn, bone, ivory, whalebone, shell, amber, mother-of-pearl, meerschaum and substitutes for all these materials, or of plastics. 21. Household or kitchen utensils and containers (not of precious metal or coated therewith); combs and sponges; brushes (except paint brushes); brush-making materials; articles for cleaning purposes; steel-wool; un-worked or semi-worked glass (except glass used in building); glassware, porcelain and earthenware not included in other classes. 22. Ropes, string, nets, tents, awnings, tarpaulins, sails, sacks and bags (not included in other classes); padding and stuffing materials (except of rubber or plastics); raw fibrous textile materials. 23. Yarns and threads, for textile use. 24. Textiles and textile goods, not included in other classes; beds and table covers. 25. Clothing, footwear, headgear. 26. Lace and embroidery, ribbons and braid; buttons, hooks and eyes, pins and needles; artificial flowers. 27. Carpets, rugs, mats and matting, linoleum and other materials for covering existing floors; wall hangings (non-textile). 28. Games and playthings; gymnastic and sporting articles not included in other classes; decorations for Christmas trees. 29. Meat, fish, poultry and game; meat extracts; preserved, dried and cooked fruits and vegetables; jellies, jams, compotes; eggs, milk and milk products; edible oils and fats. 30. Coffee, tea, cocoa, sugar, rice, tapioca, sago, artificial coffee; flour and preparations made from cereals, bread, pastry and confectionery, ices; honey, treacle; yeast, baking-powder; salt, mustard; vinegar, sauces (condiments); spices; ice. 31. Agricultural, horticultural and forestry products and grains not included in other classes; living animals; fresh fruits and vegetables; seeds, natural plants and flowers; foodstuffs for animals, malt. 32. Beers; mineral and aerated waters and other nonalcoholic drinks; fruit drinks and fruit juices; syrups and other preparations for making beverages. 33. Alcoholic beverages (except beers). 34. Tobacco; smokers’ articles; matches. P:\New rademark\71-Trademark_Application_for_Registration.doc Revised: 9/1/2006 SERVICES 35. Advertising; business management; business administration; office functions. 36. Insurance; financial affairs; monetary affairs; real estate affairs. 37. Building construction; repair; installation services. 38. Telecommunications. 39. Transport; packaging and storage of goods; travel arrangement. 40. Treatment of materials. 41. Education; providing of training; entertainment; sporting and cultural activities. 42. Scientific and technological services and research and design relating thereto; industrial analysis and research services; design and development of computer hardware and software; legal services. 43. Services for providing food and drink; temporary accommodations. 44. Medical services; veterinary services; hygienic and beauty care for human beings or animals; agriculture, horticulture and forestry services. 45. Personal and social services rendered by others to meet the needs of individuals; security services for the protection of property and individuals. ™ All information provided, including names and addresses of officers and directors, will be made available on the Secretary of State’s web site or upon request ™ Please be advised that the Business Services Bureau of the Montana Secretary of State will process your business documents within 10 working days of initial receipt. During this period if it’s determined that your document doesn’t meet statutory requirements, a letter outlining the deficiencies will be returned to the original submitter. If the document is complete and correct, the document will be filed and an acknowledgment copy showing completion returned to the original submitter.