| In Another Form Statement | "The mark was used in a different form other than that sought to be registered on [enter appropriate dates of first use and first use in commerce which U.S. Congress may regulate]." |
| In Another Form Statement | "The mark was used in a different form other than that sought to be registered on [enter appropriate dates of first use and first use in commerce which U.S. Congress may regulate]." |
| Concurrent Use Statement | enter the appropriate concurrent use information, e.g., specify the goods and the geographic area for which registration is sought. For specific requirements see TMEP Section 1207.04. |
| Description of Mark | "The mark consists of [enter a concise description of the mark.]"Large W A with WEBS AMERICA in capital letters underneath with hash marks after it |
| Goods and Services | Internet Business |
| Lining/Stippling Statement | "The mark is lined for the color(s) [indicate specific color(s)]." |
| Name/Portrait Description and/or Consent Statement | "The name (or portrait, or title) shown in the mark identifies a living individual whose consent is of record;" or, "The name (or portrait, or title) does not identify a particular living individual." |
