American Indian Trademark Application for Native Artisans
Please note, you must renew your trademark every year.
Personal Information
Company name:
Contact person first name:
Contact person last name:
Tribal affiliation:
Mailing Street:
Mailing City:
Mailing State:
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Washington, D.C.
Mailing Zip/Postal Code:
Company phone:
Email address:
Website address:
Fax number:
Is the company at least 51% Native American-owned?
Yes
No
Where did you hear about us?
What specific product(s) will carry the trademark?
What category(ies) do your product(s) fall under (select all that apply)?
Basketry
Beadwork
Body/Skincare
Carving
Culinary Arts
Drawings/Paintings
Jewelry
Leatherwork
Pottery/Ceramics
Quillwork
Regalia/Fashion/Apparel
Silversmith
Weaving/Textiles
Woodwork
Other
Specify other product(s):
What type of operation do you have (choose all that apply)?
Small Business
Manufacturing
Entrepreneur
Wholesale
Artisan Market
Retail
Cooperative
Other
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:
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:
Please upload a document proving the company is at least 51% Native American-owned, such as a business filing/tax document/tribal document stating such:
T
he information collected is solely for the purpose of IAC and will not be shared with any third party.
Signature:
Date:
Contact Information