Appendix A

APPLICATION FOR REGISTERED lDENTIFICATION NUMBER

1. LEGAL NAME OF APPLICANT FIRM

__________________________________________________________________________

2. NAME UNDER WHICH APPLICANT DOES BUSINESS. IF DIFFERENT FROM LEGAL NAME

__________________________________________________________________________

3. TYPE OF COMPANY

PROPRIETORSHIP PARTNERSHIP CORPORATION

__________________________________________________________________________

4. ADDRESS OF PRINCIPAL OFFICE OR PLACE OF BUSINESS (include Zip Code)WHOLESALING

__________________________________________________________________________

5. TYPE OF BUSINESS (pux an "x" in all the boxes that apply)

MANUFACTORING IMPORTING WHOLESALING

OTHER: (please specify)___________________________________________________

__________________________________________________________________________

6. LIST PRODUCTS

__________________________________________________________________________

7. CERTIFICATION

The products listed in item six (6) above are subject to one or more of the following Acts: The Textile Fiber Products Identification Act (15 U.S.C. 03 70-70k), The Wool Products Labeling Act (15 U.S,C. g 68-68j), or the Fur Products Labeling Act (15 U.S.C. §§ 69-69k). By filing this form with the Federal Trade Commission the company named above applies for a registered identification number to use on labels required by these Acts.

 

Under penalty of perjury, I certify that the information supplied on this form is true and correct.

________________________

Signature of proprietor, partner or corporate official

____________________________________________________________________________

8. NAME (Please print or type)

___________________________________________

9. TITLE _____________________________10. DATE_________________________________

INSTRUCTIONS

The Textile Fiber Products Identification Act, The Wool Products Labeling Act, or the Fur products Labeling Act provide that any marketer or manufacturer of fibrous or fur products covered by thole Acta may apply for a registered identification number. Companies can then use the registered identification number, instead of the name under which the Company does business, on the labels, tags, tickets, or stampa that those Acta require to be attached to covered products. In completing this application, please observe the followlng:

(a) All blanks must be filled In. include your Zlp Code In Item 4.

(b) In item 7 If the appllcant firm le a partnership, a principal partner should sign. If a corporation, one of its principal officers should sign, giving his/her title In Item 0.

(c) Send one compteted copy to:

Federal Trade Commission
Los Angeles Regional Office
11000 Wilshire Blvd., Suite 13209
Los Angeles. CA 00024

A registered identification number (RN) issued by the Commission continues in effect until revoked. The holder of the assigned number must immediately notify the Los Angeles Regional Office in writing of any change in business status. Any chance in the address of the holder's principal office and place of business must also be promptly reported.

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