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Trade-Mark Licensing of “Island Blue and/or Malpeque” Application

INNOVATION PEI TRADE-MARK LICENSING Of “Island Blue and/or Malpeque” Or Variations Thereof And Bilingual Equivalent APPLICATION

Fields marked with a red star (*) are mandatory.

Name of Applicant: *
Business AddressLocation: *
Mailing Address: *
Contact Person:
Phone (Business):
Phone (Home):
Phone (Cell):
Email Address:
Business Registration:
Please choose one.
Individual
Co-operative
Sole Proprietorship
Partnership
Limited Company
Incorporated Company
Other
Other Business Registration:
Type of Operation: Based upon the Provincial and / or Federal Permits/Licenses you hold? (Please check all which may apply):
Grower/Harvester
Processor/Packer
Retail
Peddler
Buyer
Agent
ShellfishGrown/Harvested/Bought/Processed/Packed/Sold?:
Mussels
Oysters
For which shellfish species are you apllying for Trade-marsk(s) used?:
Mussels
Oysters
Have you used the Island Blue and or Malpeque trade-marks in the past?:
Yes
No
When was the last time you used the Island Blue and or Malpeque trade-marks?:
Which trade-marks are you applying for?(Check all those that apply):
Island Blue
Island Blue Mussels
Island Blue Rope Cultured
Mussels
Island Blue Bottom
Cultivated Mussels
PEI Cultured Mussels
Prince Edward Island Mussels
PEI Mussels
Baby Blue Mussels
Malpeque
Malpeque Oysters
PEI Malpeque Oysters
Prince Edward Island Oysters
PEI Oysters
What is the inteneded use of the trade-marks?(Please include samples of graphic images if appropriate):

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