Pinterest / Trademark Form

Infringing username
A username is part of a profile URL e.g. "exampleusername" for the profile located at http://pinterest.com/exampleusername. Please submit ONE username only.
Trademark word, symbol
Please provide the exact trademark
Details
How does the user violate your rights?
Registration number
Registration office
The agency you registered your trademark with, e.g., USPTO
Link to trademark record
(optional)
Date of First Use
e.g., 1977-05-25
(optional)
Date of Application
e.g., 1977-05-25
(optional)
Date of Registration
e.g., 1977-05-25
(optional)
Your full name
Email address
Please use a company email address
Relation to trademark holder
e.g. Employee or authorized representative
Company name
Street address
City
State/Province
ZIP/Postal code
Country
Phone number
I want to claim the username

I want to blacklist the username from further use
I hereby state that I have not authorized the challenged use, and I have a good-faith belief that the challenged use violates my rights
I hereby state under penalty of perjury that all of the information in this notification is accurate and that I am the owner of the trademark, or authorized to act on behalf of the owner of the trademark

Sorry!