American Indian Trademark Renewal Application
Personal Information
Company name:
Contact person first name:
Contact person last name:
Tribal affiliation:
Have your mailing address, phone number, fax number, or website changed?
Yes
No
Mailing address:
Company phone:
Fax number:
Website address:
Email address:
I confirm the above recipient for sending subscription and membership related emails:
Yes
No
Total number of employees employed by your organization:
What specific product(s) are carrying the trademark?
Please indicate how the trademark impacted your business (select all that apply):
Improved marketing efforts
Increase in sales
Increased interest in product(s)
Other
Please specify the other way(s) the trademark has impacted your business:
Do you need more stickers?
Yes
No
Do you need us to send you the digital file for incorporating trademark onto packaging?
Yes
No
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):
Do you have any additional comments or feed back you'd like to share with us?
Supporting Documents
Do you need to change or update the supporting documents you initially submitted to us?
Yes
No
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