| TRADEMARK LICENSING CONTACT DOCUMENT |
| Please print, complete form, and fax to 218-726-7526. If your application is approved, a Trademark Licensing Packet will be sent to you. |
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COMPANY
INFORMATION |
Company Name: |
| Date: |
Mailing Address:
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City/State/Zip: |
Telephone Number: |
| Fax Number: |
Contact Person: |
| Contact Person's Email Address: |
Send to: Trademark Licensing ProgramPatrick Keenan 245 Kirby Plaza 1208 Kirby Drive Duluth, MN 55812 218-726-8741 Fax: 218-726-7526 license@d.umn.edu |