Please Note: We need one (1) copies of your material if unpublished and two (2) if published; also, we need the dates created, published, and all pertinent information on any co-creators.
Additional copyrights by the same party and same type $100.
 

EXPEDITED SERVICES per item PATENTS SEARCHES, TRADEMARK SEARCHES AND COPYRIGHTS (otherwise 2-3 weeks)

0  1  2  3  4  5  6  7  8  9  10  11  12	# prepared within 48 hours + $165
0  1  2  3  4  5  6  7  8  9  10  11  12	# prepared within 1 week + $65

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YOUR INFORMATION (Please fill in all pertinent boxes)
                   Mr.      Ms.      Mrs.      Dr. 
 

Full Name:
Co-inventor:
Company Name:
Street Address:
City:	State:  Zip:  Country:
Mailing Address:
City:	State:  Zip:
Date of Birth:	Occupation:
Home Phone:	Work Phone:
Fax Number:	Email:

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TOTAL PAYMENT
Please note: we offer a 5% discount for 5 or more orders of any item and a 10% discount for 10 or more orders of any item.  Please call toll free at 888-275-2757 for authorization for such a discount. Additionally, we are willing to do any of this work on an hourly basis with a retainer. Please see the retainer page for additional information.
Discount Authorization Code: 

METHOD OF PAYMENT
Credit Card    Personal or Business Check  Cashier's Check  Money Order
Please Note: work will not begin until payment has been received. If not paying by credit card, please mail payment with your name, address, and phone number.

Credit Card Type: Visa  Mastercard  American Express  Discover
 

Expiration_Date:
Name on Card:
Card Number:

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SMALL PRINT: The legal contract which you are signing has particular terms which are found at http://www.aplegal.com/terms.html. Additionally, no work will be done unless the contract has been signed and until some form of payment has been received.

Today's Date: 
If you are submitting this form over the internet via our secure server, please enter a random code which will be used as you signature. If you are submitting this form on paper, then please sign your name here.
Signature: 
Confirmation Signature: 
 
 

Please describe your invention, process, name, slogan, and/or article to be protected below.

Notes/Directions:
Please place any notes or directions in this space. 

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Press  to submit your order.