Document No.
Intellectual Property Office of the Philippines
IPOPHL-SOP-BOT-01-F01
BUREAU OF TRADEMARKS Rev. No. 03
TRADEMARK APPLICATION FORM Issued by: Date:
BOT 10/01/2017
(Prescribed Form)
1. Applicant (* MANDATORY FIELDS) Please print legibly
Name*
MAX INTERNATIONAL, LLC. LTD. LIAB. CO.
Country of Residence or Incorporation*
Natural Juridical UNITED STATES OF AMERICA
Complete Address*
6965 SOUTH UNION PARK AVENUE, SUITE 100, SALT LAKE CITY, UTAH 84047, USA
Telephone* Facsimile E-mail Address*
Name(s) and address(es) of other applicant(s) (Use extra sheets if necessary)
2. Resident Agent or Authorized Representative
Agent/Name and Position of Company’s Authorized Representative
CARPO LAW & ASSOCIATES
Complete Address in the Philippines 8TH FLOOR MARAJO TOWER NO. 312 26TH STREET WEST CORNER
FOURTH AVENUE BONIFACIO GLOBAL CITY, TAGUIG, PHILIPPINES
3. The Mark (Place a copy of the mark in the box. The mark should be clear enough to be reproduced and digitized)
Title of the Mark MAX INTERNATIONAL
Claim of Color(s) NONE
Transliteration/Translation NONE
Disclaimer Applicant disclaims the exclusive right to use “INTERNATIONAL”, apart from the mark
as shown.
Claim for convention priority NONE
Country _______________ Application No. _______________ Date of Filing ______________
Tick off those that apply
The mark is three-dimensional. The application is for collective mark.
The mark is a stamped or marked container of goods.
4. Goods and/or services covered by the application (Use additional sheet(s) if necessary)
Advertising; business management; business administration; office functions:
Multilevel marketing business services namely providing marketing and income opportunities to others
through the sale of nutritional and dietary supplements and through the development of marketing
organizations; distributorship services in relation to nutritional and dietary supplements
5. Printed Name and Signature 6. Type of Entity
Big (Total Assets: More than Php 100M)
Small (Total Assets: Php 100M or less)
Note: For payments made by cheque or postal money order, it should be
payable to the INTELLECTUAL PROPERTY OFFICE.
IMPORTANT REMINDERS:
Pursuant to Section 124.2 and Section 145 of R.A. 8293
1) The applicant or the registrant shall file DECLARATION OF ACTUAL USE (DAU) of the mark with evidence to that effect, as prescribed by the Regulations
within three (3) years from the filing date of application. Otherwise, the application shall be REFUSED or the mark shall be REMOVED from the Register by
the Director.
2) A certificate of registration shall remain in force for ten (10) years; provided, that the registrant shall file a DECLARATION OF ACTUAL USE to that effect, or
shall show valid reasons based on the existence of obstacles to such use, as prescribed by the Regulations, within one (1) year from the fifth (5th) anniversary
of the date of registration of the mark. Otherwise, the mark shall be REMOVED from the Register by the Office.
