[l-Date]
[r-Name]
[r-Title]
[r-Association]
[r-Address]
Dear [r-FName]:
I, [s-Name], do hereby apply for a
license to display the trademark of [r-Association], "[Trademark] "
at my place of business located at [s-Address], in the City of [s-City] , State
of [s-State].
This application is in accordance
with the regulations of the [r-Association].
I am cognizant of the regulations
of [r-Association] that govern the display of this Trademark and the manner of
conducting business. I agree to abide by
such regulations at all times.
_______________________________ _________________
[s-Name] [s-Date]
