Agent of record form

Use the form below to engage us immediately to act as the agent of record on a Canadian trademark application. We will ensure the CIPO file designates us. Note: this service is acting as your agent without any guidance or advice; if you want advice from us on any matter, please contact us directly. You may pay immediately via PayPal (any credit card), or have us contact you.

The trademark is:*
The trademark application number is*
Your Name*
Your Company*
Your firm
Your Address (Provide your address not the applicant's.)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your email*

This is the address that we will send correspondence related to the trademark application to.
Phone
Optional
Agent of record service fee*
Price: $100.00
The price, in CDN $. The amount in US $ will be lower.
Authorization*
- I hereby authorize and direct MILTONS IP to file, for and on behalf of the Applicant, with the Canadian Intellectual Property Office, a notice that designates MILTONS IP as the agent of record for this Canadian trademark application.
This designation of Miltons IP as the Applicant's agent of record may be rescinded, revoked, or changed by the Applicant at any time.

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