Multi-user Info Request

Organization (Corp / Firm / Institution):

Type of Organization:
Select oneIP Law FirmPCawErm Fim oer s50 mo AaesesCommere FIm 55 : 50 mn anmu slsles,lonmerelel FI LUnder s6 mion anual saie1Govemment AgencyOther (Specify)

(if “other”)
First Name:
[text*your-Name autocomplete:name]
Last Name:
[text*your-Name: autocomplete:name]
Address:

City, State / Province:
,
Country, Zip:
,
Phone:

Fax:

E-mail Address:
[email Address* your-email Address autocomplete:email Address](Required for validation & LOGIN)
Current Interest: Check all that apply:
Infringement Litigation SuiteEnterprise IP Solution,Patent Research Solutions,Patent Awareness Products,Web Demonstration
Estimated Number of USERS (Seat Licenses) for this Account:

Number of FACILITIES / LOCATIONS you wish to network access to:

Date do you wish to have your IP management system operational:

Describe any special system, user or network requirements: