Free Application for License Form


                     APPLICATION FOR LICENSE



I, [name of applicant], do hereby apply for a license to

display the trademark of [association], "[trademark] "

at my place of business located at     [address]    , in

the City of                , State of                .



That this application is in accordance with the

regulations of the [trade association].



I am cognizant of the regulations of [trade association]

that govern the display of said trademark and the manner

of conducting business, and I agree to abide by such

regulations at all times.



Dated:_______________       ______________________________

                                      [Signature]





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