Template: Proposed use in Canada

To: The Registrar of Trade-marks
Gatineau, Quebec, Canada.

1. Same as paragraph 1 of Form 1.

2. Same as paragraph 2 of Form 1.

3. Same as paragraph 3 of Form 1.

Omit paragraph 4 if registration is requested only in respect of services.

4. The applicant by itself or through a licensee, or by itself and through a licensee, intends to use the trademark in Canada in association with (a).......... and requests registration of the trademark in respect of such goods.

Omit paragraph 5 if registration is requested only in respect of goods.

5. The applicant by itself or through a licensee, or by itself and through a licensee, intends to use the trademark in Canada in association with (b)........... and requests registration of the trademark in respect of such services.

6. Same as paragraph 6 of Form 1.

7. Same as paragraph 7 of Form 1.

8. Same as paragraph 8 of Form 1.

Instructions for Form 4.

(a) List all the specific goods in association with which the applicant by itself or through a licensee, or by itself and through a licensee, intends to use the trademark in Canada, and in respect of which registration is requested. The goods must be described in ordinary commercial terms.

(b) List all the specific services in association with which the applicant by itself or through a licensee, or by itself and through a licensee, intends to use the trademark in Canada and in respect of which registration is requested. The services must be described in ordinary commercial terms.