Legal Notices - Trademark Usage Request Form from VeriSign, Inc.

Trademark Usage Request Form

We require a trademark license agreement when our trademarks are going to be used by third parties. Please fill out the following form to request use of VeriSign intellectual property or brand assets.

Note: All fields are required.
Please indicate urgency of request
Name
Company Name
Company Industry or Market Category
Company Address
Company City
Company State
Company Zip Code
Company Country
Phone Number
Fax Number
Email Address
Is there an existing Licensing Agreement being negotiated through Purchasing?	Yes. Agent's name: No
Trademark being requested
Please enter a detailed description for how the trademark will be used:
Please indicate the timeframe in which the trademark will be used: Please note that the maximum term for use of a trademark is 1 year. The Trademark License Agreement is renewable once a new application is received and approved.	Start Date: End Date:
Quantify the exposure that the VeriSign mark will receive with this Trademark License. Agreement (e.g.,the trademark will be placed on 200,000 computers or VeriSign will be listed as a Thought Leader in 50,000 business school text books or VeriSign will receive $70,000 of free advertising exposure.)
How many people will be exposed to the materials containing the VeriSign mark?
VeriSign requires a hard copy or sample of the trademark as soon as it's produced or distributed. Please list the appropriate contact name, email and phone so we can follow up.