Authorization Form for Community Trademark and Drawing

Data

Name:

Nº ID of maker/s:

Dirección

Street and number:

Locality:

Phones:

Postal Code:

Country:

Faxes:

I/We hereby authorize:

Nature of the representative:
Authorized representative
Lawyer
Association of representatives
Employee

Representative Information:
Name of representative or association of representatives: Lidermark Patentes y Marcas, S.L.
Company address: C/ Obispo Frutos, 1 B – 2º A
Postal Code: 30003
Locality: Murcia
Country: España
Phone numbers: 968 20 17 74 / 968 20 48 81
Fax numbers: 968 20 17 74 / 968 20 48 83

To represent me / us before the Office for Harmonization in the Internal Market
(Trademarks, Designs and Models)

General Power

In all kinds of procedures, as applicant or owner, in relation to any present or future community trademark and / or design applications or registrations, as well as in any other procedures before the Office

Specific Power

In the following procedures

This power

Can be delegated
Cannot be delegated

Signed in

European Union Trademark and Drawing Authorization

For European Union Trademark and Community Design

Data

Dirección

I/We hereby authorize:

To represent me / us before the Office for Harmonization in the Internal Market
(Trademarks, Designs and Models)

European Union Trademark and Drawing Authorization

For European Union Trademark and Community Design

Data

Dirección

I/We hereby authorize:

To represent me / us before the Office for Harmonization in the Internal Market (Trademarks, Designs and Models)

To represent me / us before the Office for Harmonization in the Internal Market
(Trademarks, Designs and Models)