Form TM15

Trade Marks Registry

Request for the Restoration and Renewal of a Registration removed from the Registrar Because of Non-Payment of the Renewal Fees

Your Reference :
Give Details of the Registration:
Registration Number:
Select Classes to Renew: *
List of Selected File Numbers
Total Charge : $
Full Name Of Registered Proprietor
Address
Postal Code:
Signature of Applicant:
Name [Block Capitals]
Date of Application:
Name of DayTime Contact :
Telephone of DayTime Contact :
Charge for Service: $