Edit  this  form

Patent Offer Submission *  Required

Patent Offer to Sell What is your name? *

What is the name of the company that owns the patent? * If  you  are  the  owner,  but  not  a  company,  just  indicate  "Individual."

What is your address? *

What is your email address? *

What U.S. issued patent are you offering for sale? * Please  enter  a  single  US  Patent  number  only  (numbers  only,  no  commas,  etc.).

What price are you willing to accept for this patent? * (U.S.  Dollars) $10,000 $25,000 $50,000 $75,000 Other: Are you the patent owner or a patent broker / patent intermediary? *

I  am  the  patent  owner. I  am  a  patent  broker  /  patent  intermediary  with  complete  authority  to  sell  this  patent  from  the patent  owner.

A synopsis of this form will be sent to you at the email address you indicated above. « Back

Submit

Never  submit  passwords  through  Google  Forms.

Powered  by

This  form  was  created  inside  of  Google.com.   Report  Abuse  -­  Terms  of  Service  -­  Additional  Terms