Wyoming Trademark Application for Renewal Form

In the case of a trademark’s expiration or having its expiration date coming up, the following form along with a $50 fee will have to be submitted in order to renew it.

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For Office Use Only  	
 	Wyoming Secretary of State 	
  State Capitol Building, Room 110 
   200 West 24	th Street  
  Cheyenne, W Y 82002-0020 
  Ph.  307.777.7311  
  Fax 307.777.5339  
  Email:  [email protected]	
  	
 	
      
 	
Application for  Renewal of Trademark  or Service Mark  Registration 	
 
1.  Provide a written description of the trademark or service mark. Your description must include all words, names, 
symbols, devices and designs which the applicant wishes to be included wi thin the mark. You may attach a separate sheet 
if needed; however, you must describe the trademark completely : 
 
 
 
2. Name of applicant:  
 
 
3. Business address of applicant:  
 
 
 
4. The mailing address of  applicant: 
 
 
 
5. Applicant is  	
(check one)	:  	 
   individual;         corporation;        general partnership;    	
limited partnership;       limited liability company     statutory trust;   	
 	
unincorporated association;      other: 	
 
6. a. If the applicant is a corporation, limited partnership, limited liability compa ny or statutory trust, list:  
 
      The state  of incorporation  or organization:  
 
  The date incorporated or organized:  	
(Date – mm/dd/yyyy)  	 
 b. If a general partnership or limited partnership, list the names of the general partners or partners:  
 
 
 
  c. If a limited l iability company or statutory trust, list the names of the managers, members or trustees:  
 
 
 
  d. If other, explain:  
 
 
7. Date of original registration in the office of the Wyoming Secretary of State:  
 	
             (Date – mm/dd/yyyy)  	 
8. Provide the class number and title of the goods or services (see attachment) . Use only one class code per renewal: