UK Address for Service

Name of Applicant*
This will generally be the full legal name of the IP owner (or the person opposing someone else's IP).
Which of the following best describes why you need a UK Address for Service?*
In order for us to best help you, please choose from the following:
- I have not received proceedings and would like a UK AFS for already registered IP.
- I have already received proceedings and require a UK AFS
- I am opposing someone else's IP
- I am registering new IP
- Other
If other, please detail here:*

Contact details for the IP Owner
Please enter the contact details for the IP owner. You will have an opportunity later to add alternative contact details.
Contact name*
First Last
Company Name (if applicable)
Your address*
Street Address Address Line 2 City ZIP / Postal Code Country
Phone
Email Address*
Enter Email Confirm Email

Group Companies
If you need a UK AFS for multiple companies within a group please enter your details here.
- Only one company
- Yes, I have group companies
Number of Group Companies*
Please select how many Group companies you wish to add. If there are more than 10 Group companies, please get in touch for assistance.
Name of Group Companies
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name
Name of Group Company
Please add the legal name

Contact Details for Official IPO correspondence*
Are the contact details for official IPO correspondence, the same as your contact details already provided?
- Yes, they are the same as the details already provided.
- No, I wish to provide alternative details
Contact Details for IPO

Please provide details of the person who should receive official IPO correspondence
Name*
First Last
Company/Business name
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone

Additional Contact Details*
Would you like to provide additional contact details for IPO correspondence e.g. an IP/law firm or a colleague?
- No
- Yes
Company/Business Name
Contact name*
First Last
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone

Please provide details of the legal documents to which the appointment will relate.
Number of IP*
IP Rights
Please complete as much as the information below as possible, as this can speed up the processing of your application:
Type of IP e.g. Trademark UK IPO Ref Number Renewal Date
Number of Years*
Preferred payment method*
If Credit/Debit Card is selected, you will be transferred through to a secure online payment option at the end of the process.
- Bank Transfer
- Credit/Debit Card

Core Fee*
Price: £ 0.00
Group Companies*
Price: £ 0.00
VAT*
Price: £ 0.00
Total due today
This is the total due today. Payment will be made using Stripe, our payment provider.
£ 0.00

Core Fee*
Group Companies*
VAT*
Total due upon issue of invoice (Inc VAT)
This is the total amount we will issue an invoice for, for payment using bank transfer.
Total due upon issue of invoice (No VAT)
This is the total amount we will issue an invoice for, for payment using bank transfer.

Further Information
If there is any further information that you feel we should be aware of please include it here.
Please confirm that you give consent to Elemental filing the change of address with UK IPO on your behalf.*
- I DO give my consent as an authorised representative of the trademark owner.
- I DO NOT give my consent at this moment
Terms and Conditions
Please confirm that you have read, understood, and accepted the terms and conditions for appointment as a UK AFS.
- I have read and accept the terms and conditions
Please get in touch

Please submit your details and a member of the team will be in touch shortly to discuss your requirements.
Contact Person*
Please confirm who we should contact about the setting up of this application
- IP Owner (on email address already provided)
- Other email address (to be provided)
Email for contact*
Please insert the email address we should contact about this application
Enter Email Confirm Email

Type of IP e.g. Trademark	UK IPO Ref Number	Renewal Date

UK Address for Service – Online Registration