ChronosMark Portfolio Services

Combined Sections 8 & 9 Renewal Intake

10-Year Declaration of Continued Use & Application for Renewal (15 U.S.C. §§ 1058 & 1059)[span_0](start_span)[span_0](end_span).

U.S. Registration Number *

Original Registration Date *

Literal Mark Text *

Current Owner Name *

Check this box if current owner name differs from TSDR record (assignment, merger, or legal name change)[span_1](start_span)[span_1](end_span).

Upload Chain-of-Title / Assignment Proof (PDF/JPG) *

Entity Type *

Domicile Country *

Registrant Email *

Mailing Address *

City *

State / Zip Code *

Attorney Name

Law Firm Name

Bar Jurisdiction / State

Bar Membership Number

Attorney Email

Number of Classes Being Renewed *

Signatory Relationship / Capacity *

Signatory Name *

Official Title *

Electronic Signature *