Name of specific Authority,
With due respect to state that, I, (name of applicant), do hereby apply for a license to display the trademark of (association name… ), “(trademark name…. ) ” at my corporate offices located at (address… ), inside the (area name, city name… ).
This application is as per the regulations of the particular (trade association….).
I am cognizant of the restrictions of (trade association name….) that govern the display of said trademark as well as the manner of conducting (small/corporate) business, and I agree to agree to follow such regulations at all times.