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Intellectual Property Claim for ".biz" Domains
Profile Information
Note: Registering an intellectual property claim is not the same as registering a domain name.
Fields marked (opt) are optional.
Intellectual Property Owner Contact Information
(opt) Reference Number
(for your personal use only)		 Street Address:
(opt) Street cont':
Organization Name: City:
Email: (opt)State:
Phone Number: (eg. 416-555-1122) Country:
(opt) Fax Number: (opt)Postal Code:
Person to Receive Legal Correspondence Contact Information
Title & First Name: Last Name:
(opt) Position: Street Address:
Organization Name: (opt)Street cont':
Email: City:
(opt) Email (alternate): (opt)State:
Phone Number: (eg. 416-555-1122) Country:
(opt) Fax Number: (opt)Postal Code:
Claim Details
Intellectual Property String
(.biz domain name based on your IP mark, e.g. tucows.biz)
(opt) Description of Goods and Services
Date of First Use  MM/DD/YYYY
Trademark Status Registered   Applied For   Common Law
Application Date and International Class are required for Registered or Applied trademarks.
Country of First Use
Application Date  MM/DD/YYYY
International Class

1) Print Form or Copy and Save Into Word processor / Editor.
2) Complete All Required Information
3) Email or Fax Completed Form to Email anuzzi@falconcomputer.com Fax # 516-822-7711
4) COMPLETED FORMS MUST BE RECEIVED BY FRIDAY JULY 6TH, 2001 AT 8:00PM NEW YORK TIME
5) The Processing Fee is $95 US for each IP Claim Form Submitted. Credit Approval or Pre-Payment is Required.
6) Contact Anthony Nuzzi for more information or to process your order.