Online order form for patent drawings at DH draw

DAVID HENDRICKSON & ASSOCIATES, INC.

O n l i n e P a t e n t D r a w i n g O R D E R F O R M

Instructions:	(1) Fill out order form and press "submit," and (2) Provide drawings either by FAX, EMAIL or REGULAR MAIL.

* Required Field (enter "n/a" if not applicable in your situation)

* Your Organization Name:

* Street:

* City: * State: * Zip:

* Country:

* Attorney (or other contact):

* Phone: Fax:

* Email Address:

CASE INFORMATION

* Client Name:

* Docket Number: (or other reference #)	Title: (description of drawing)	* Completion Date:

METHOD FOR PROVIDING DRAWINGS TO US

Via Fax Via Email Via Regular Mail

Paper Size:A4 (21x29.7cm)Letter (8.5 x11)

FOREIGN FILING INFORMATION

Filing requested for the following countries:

Docket Number(s):

Examples: 1234-001(PCT), 1234-002(CAN)

ADDITIONAL COMMENTS