Form MM11 (Madrid Agreement Concerning the International

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					                                                                                                                       MM11(E)

                                MADRID AGREEMENT AND PROTOCOL CONCERNING THE

                                         INTERNATIONAL REGISTRATION OF MARKS




                                  RENEWAL OF THE INTERNATIONAL REGISTRATION

                                                 (Rule 30 of the Common Regulations)




                                                            IMPORTANT

                  1.   The use of this form is not compulsory. It is made available for the convenience of holders of
                       international registrations.
                  2.   The international registration may not be renewed in relation to any designated Contracting Party in
                       respect of which a total invalidation or a renunciation has been recorded. However, in the case of
                       partial invalidation, the international registration may be renewed in respect of any designated
                       Contracting Party for those goods and services for which an invalidation has not been recorded.




                                               World Intellectual Property Organization
                                              34, chemin des Colombettes, P.O. Box 18,
                                                    1211 Geneva 20, Switzerland
                                                       Tel.: (41-22) 338 9111
                                     Fax (International Trademark Registry): (41-22) 740 1429
                                    e-mail: intreg.mail@wipo.int – Internet: http://www.wipo.int


MM11(E) – IX.08
                                                                                                                               MM11(E)
                               RENEWAL OF THE INTERNATIONAL REGISTRATION

                           For use by the holder                                                      For use by the holder/Office

 This renewal contains the following number of continuation sheets:             Holder’s reference:

                                                                                Office’s reference:


 1        INTERNATIONAL REGISTRATION NUMBER




 2        NAME OF THE HOLDER
          (as recorded in the International Register)




 3        CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED

          Indicate below the designated Contracting Parties for which the international registration indicated in item 1 is to be renewed
          (including, where applicable, those Contracting Parties in respect of which a total refusal is recorded in the International Register)

     AG   Antigua and Barbuda               DZ     Algeria                          KR   Republic of Korea               RO Romania
     AL   Albania                           EE     Estonia                          KZ   Kazakhstan                      RS Serbia
     AM   Armenia                           EG     Egypt                            LI   Liechtenstein                   RU Russian Federation
     AN   Netherlands Antilles              EM     European Community               LR   Liberia                         SD Sudan
     AT   Austria                           ES     Spain                            LS   Lesotho                         SE Sweden
     AU   Australia                         FI     Finland                          LT   Lithuania                       SG Singapore
     AZ   Azerbaijan                        FR     France                           LV   Latvia                          SI Slovenia
     BA   Bosnia and Herzegovina            GB     United Kingdom                   MA   Morocco                         SK Slovakia
     BG   Bulgaria                          GE     Georgia                          MC   Monaco                          SL Sierra Leone
     BH   Bahrain                           GR     Greece                           MD   Moldova                         SM San Marino
     BT   Bhutan                            HR     Croatia                          ME   Montenegro                      SY Syrian Arab Republic
     BW   Botswana                          HU     Hungary                          MG   Madagascar                      SZ Swaziland
     BX   Benelux                           IE     Ireland                          MK   The former Yugoslav             TJ Tajikistan
     BY   Belarus                           IR     Iran (Islamic Republic of)            Rep. of Macedonia               TM Turkmenistan
     CH   Switzerland                       IS     Iceland                          MN   Mongolia                        TR Turkey
     CN   China                             IT     Italy                            MZ   Mozambique                      UA Ukraine
     CU   Cuba                              JP     Japan                            NA   Namibia                         US United States of
     CY   Cyprus                            KE     Kenya                            NO   Norway                             America
     CZ   Czech Republic                    KG     Kyrgyzstan                       OM   Oman                            UZ Uzbekistan
     DE   Germany                           KP     Democratic People’s              PL   Poland                          VN Viet Nam
     DK   Denmark                                  Republic of Korea                PT   Portugal                        ZM Zambia

Others:



 4        SIGNATURE

          Name:


          Signature:




MM11(E) – IX.08
                                                                                                                                            Page 2

                                                               FEE CALCULATION SHEET


 (a)   INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT

       The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with the International
       Bureau (if this box is checked, it is not necessary to complete (b)).

 Holder of the account:                                                                             Account number:

 Identity of the party giving the instructions:


 (b)   AMOUNT OF FEES; METHOD OF PAYMENT

 Basic fee (653 Swiss francs)

 Where applicable, surcharge for the grace period (326.50 Swiss Francs)

 Complementary and supplementary fees:

 Number of designations for
 which complementary fee                                                              Total amount of the
 is applicable                                Complementary fee                       complementary fees
                                   x              100 Swiss francs              =                                     =>

 Number of classes of
 goods and services beyond                                                            Total amount of the
 three                                          Supplementary fee                     supplementary fees
                                   x              100 Swiss francs              =                                     =>

 Individual fees (Swiss francs):
   Designated Contracting Parties         Individual fee                             Designated Contracting Parties        Individual fee




                                                                                              Total individual fees   =>

                                                                          GRAND TOTAL (Swiss francs)

 Identity of the party effecting the payment:
                                                                     WIPO receipt number

 Payment received and acknowledged by WIPO

 Payment made to WIPO bank account
 IBAN No. CH51 0483 5048 7080 8100 0                                 Payment identification                                dd/mm/yyyy

 Credit Suisse, CH-1211 Geneva 70
 Swift/BIC: CRESCHZZ80A

 Payment made to WIPO postal account
 IBAN No. CH03 0900 0000 1200 5000 8                                 Payment identification                                dd/mm/yyyy

 Swift/BIC: POFICHBE




MM11(E) – IX.08
                  CONTINUATION SHEET   No: .......... of ..........




MM11(E) – IX.08