To apply for membership or a license, print out this form, fill it in, and fax it back to Trademarx Online in care of LRG at . Required fields are indicated in bold type.
 
To:		 Trademarxonline.com ()
 
From:		 ............................................................
 
Date:		 ..............................

 
Licensee User Name:		 ....................................................................................................
 
First Name:		 ....................................................................................................
 
Last Name:		 ....................................................................................................
 
Company Name:		 ....................................................................................................
 
Address1:		 ....................................................................................................
 
Address2:		 ....................................................................................................
 
City:		 ....................................................................................................
 
State:		 ....................................................................................................
 
Zip/Postal code:		 ....................................................................................................
 
Email:		 ....................................................................................................
 
Phone:		 ....................................................................................................
 
You must be a licensee in good standing and have an active license with any of the university’s that you wish to obtain artwork from. As always, all designs utilizing any of the university’s logo or word marks must be approved in writing prior to production. For more information about LRG’s artwork approval policies, consult your licensing packet or log on to www.lrgusa.com and check out our FAQ section.