order online
|
home
D
AVID
H
ENDRICKSON &
A
SSOCIATES,
I
NC.
P r i n t a b l e
P a t e n t D r a w i n g O R D E R F O R M
Instructions:
Print this form, fill it out completely, then either:
(a) FAX to:
(414) 352-1855, or
(b) MAIL to:
David Hendrickson & Associates, Inc.
7101 N. Green Bay Avenue, Glendale, WI 53209
Your Organization Name:
______________________________
Address:
______________________________________________
______________________________________________
Phone:
_____________________
Fax:
_____________________
CASE INFORMATION
Client Name:
_____________________________
Docket Number(s):
____________________________
Requested Completion Date:
_______________
Attorney Name:
_____________________________
Email Address:
_________________________________
METHOD FOR PROVIDING DRAWINGS TO US:
Via
FAX
______
Via
EMAIL
______
Via
REGULAR MAIL
______
OTHER
_______________
FOREIGN FILING INFORMATION:
PCT/Docket #: _________________________________
Country/Docket #:
________________________________
Country/Docket #: ________________________________
Country/Docket #:
________________________________
Signed:
______________________________
Date:
___________
