Trademark License Request Form

We require a trademark license agreement when our logo or trust seal is going to be used by third parties. Please fill out the following form to request use of Symantec intellectual property or brand assets.

* Indicates required field.

* Please indicate urgency of request
* First Name
* Last Name
* Company Name
* Company Industry or Market Category
* Company Address
* Company City
* Company State
* Company Zip Code
* Company Country
* Phone Number
Fax Number
* Email Address
Are you currently negotiating a License Agreement with Purchasing?
Yes  No Agent's Name:  
* Trademark being requested
Please enter a detailed description for how the trademark will be used:
Please indicate the time frame in which the trademark will be used: note that the maximum term for use of a trademark is 1 year. The Trademark License Agreement is renewable once a new application is received and approved.
Start Date:   End Date:  
Quantify the exposure that the Symantec mark will receive with this Trademark License Agreement e.g.,the trademark will be placed on 200,000 computers or Symantec will be listed as a Thought Leader in 50,000 business school text books or Symantec will receive $70,000 of free advertising exposure.
How many people will be exposed to the materials containing the Symantec mark?
Symantec requires a hard copy or sample of the trademark use as soon as it's produced or distributed. Please list the appropriate contact name, email and phone so we can follow up.