American Indian Trademark Application
Personal Information
Company name:
Contact person first name:
Contact person last name:
Tribal affiliation:
Mailing address:
Company phone:
Email address:
Website address:
Fax number:
Total number of employees employed by your organization:
What specific product(s) will carry the trademark (select all that apply)?
Fresh and Dried Meats
Wild Rice
Seafood: Wild, Fresh, Frozen, Smoked, and Canned Seafoods
Syrup and Sugar
Fresh Water Fish
Jams, Jellies and Preserves
Fruit: Wild, Fresh, Dried and Packaged Fruit
Fine chocolates
Vegetables: Wild, Fresh, Dried and Packaged Vegetables
Herbal Salves, Lip Balms, Candles
Organic Wheat, Pima Wheat and Alfalfa
Lotion, Body Wash, Shampoo, Conditioner, Soaps, Detergents, Dish Liquid
Nuts, Seeds and Legumes
Fine Wines
Dry Foods and Mixes
Oils
Loose Leaf Tea and Herbs
Kombucha
Organic Coffee, Coffee
Vinaigrettes, Cocktail Sauces, and Mustards
Other
Specify other product(s):
What type of operation do you have (choose all that apply)?
Small Business
Manufacturing
Entrepreneur
Wholesale
Farmers Market
Retail
Farm or Ranch Operation
Other
Cooperative
Specify other operation type:
How do you plan to make use of the trademark?
Incorporate trademark onto packaging
Attach sticker to existing package
Combination of imprinted containers and stickers
Other
Specify other trademark use:
What certifications do you currently include on your packaging?
Made/Produced by American Indian Trademark
USDA Organic
FDA Certified
Certified GF (Gluten Free)
Kosher
Non-GMO
Certified B Corporation
USDA Inspected and Approved
Halal Certified
Other
Specify other certification(s):
What type of events are you interested in attending?
Domestic Events/Trade Shows
International Trade Shows
Supporting Documents
Please provide and attach documentation (through the file upload below) that verifies the user is a federally recognized Tribal member/entity or an Alaskan Village as defined by law; or at least a controlling share interest.
Verification the user is a federally recognized Tribal member/entity or Alaskan Village as defined by law
OR a controlling shareholder with 51% interest or more
For Tribal Enterprises/Entities: Proof of tribal ownership - Tribal Council Resolutions OR Authorized Statement from the current Tribal Executive Leader
For Individual Indian Producers: Proof of tribal enrollment - Tribal identification OR enrollment card
A controlling shareholder with 51% interest or more: Applies to individuals, tribes, tribal organizations, firms, partnerships, corporations, or associations applying
Verification user is a federally recognized Tribal member/entity or Alaskan Village as defined by law:
Photo 1:
Photo 2:
Photo 3:
Please upload a complete inventory list with individual product descriptions for every product:
T
he information collected is solely for the purpose of IAC and will not be shared with any third party.
Signature:
Date:
Contact Information