Format 1

Application for Registration of a Trade-mark in use in Canada

To: The Registrar of Trade-marks, Gatineau, Canada.

The applicant ___________________________________________
whose full post office address of its principal office or place of business is

applies for the registration, in accordance with the provisions of the Trade-marks Act, of the trade-mark identified below.

The trade-mark is the word(s) (or is shown in the attached drawing)

The trade-mark has been used by the applicant in association with all the specific wares listed hereafter, and the applicant requests registration in respect of such wares. The trade-mark has been so used in Canada in association with the general class of wares comprising the following specific wares

since __________________________________________
and in association with the general class of wares comprising the following specific wares

since __________________________________________.

The trade-mark has been used in Canada by the applicant in association with all the specific services listed hereafter, and the applicant requests registration in respect of such services. The trade-mark has been so used in Canada in association with the general class of services comprising the following specific services _________________________________________________
since ________________________________________, and in association with the general class of services comprising the following specific services

since _________________________________________.

The applicant is satisfied that he or she is entitled to use the trade-mark in Canada in association with the _______________________________________________ described above.