Amano and Partners Request from of trademark application through WEB site

Please feel free to contact us by this form.

Please fill in necessary matters on the following request form and send us the request.
NOTE: An asterisk(*) indicates REQUIRED information

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Company Name
(in case of legal person)

Title

Mr.

Ms.

Dr.

Name of person in charge*

Family		Middle
First

ID No. for the JPO
(if you have)

Address 1*

Address 2

Zip Code*

Country*

Telephone Number*

Fax Number

E-mail*

(Note: Please enter up one-byte characters.)

Object to be protected

Tell us a trademark to be protected.

Tell us goods or service for which the trademark is used.

If there is any website that contains goods or services
which you use the trademark, please tell us.

If you have additional information or comments on
design of the trademark, please let us know.

If you have any attachment file of image data or Excel data,
you can attach hereto.