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I, [name of applicant], do hereby apply for a license to
display the trademark of [association], “[trademark] ”
at my place of business located at [address] , in
the City of , State of [...]
APPLICATION FOR LICENSE
I, [name of applicant], do hereby apply for a license to
display the trademark of [association], “[trademark] ”
at my place of business located at [address] , in
the City of , State of [...]