| Call 561-235-0725, or fill out the form below for a |
| CONFIDENTIAL INSTANT QUOTE ESTIMATE FOR AN |
| ORNAMENTAL DESIGN PATENT APPLICATION |
| by registered patent attorney, Peter A. Koziol, Esq. |
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| Are you the:
Assignee/Owner
Inventor
Both
Not Sure
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| Please enter your e-mail address: |
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| Please enter your telephone number: |
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| Please enter the title of the invention: |
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| Please check each box that is appropriate: |
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The claimed invention was patented, described in a printed publication, or in public use, on sale, or otherwise available to the public before the submission of this form. | [?] |
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The claimed invention was described in a patent issued under section 151, or in an application for patent published or deemed published under section 122 (b), in which the patent or application, as the case may be, names another inventor and was effectively filed before the submission of this form. | [?] |
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I do NOT understand the two previous checkboxes. | [?] |
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| Please enter the full name of the primary inventor: |
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| Please enter the address of the primary inventor: |
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| Please enter the full name and address of each co-inventor: |
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| Please enter the full name of the assignee: |
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| Please enter the address of the assignee: |
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| Please enter the full name and address of each additional assignee: |
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| Please enter any cross-references to related applications: |
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| Please enter any statement regarding federally sponsored research or development: |
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| Please select a file of the drawings for the application: |
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| Please enter a description of the figure or figures of the drawings: |
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| Please enter a description of the appearace of portions of the claimed design which are not illustrated in the drawings: |
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| Please enter a description of portions of the drawings that are disclaimed: |
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| Please enter a description denoting the nature and environmental use of the claimed design: |
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| Please enter a description characteristic features of the design that are considered by applicatant to be a feature of novelty or
nonobovious: |
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| Select below to see if you qualify for up to a 50% fee reduction |
| The owner is: |
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a "person" (i.e. individual or individuals) who has not assigned, granted, conveyed, or licensed, and is under no obligation under contract or law to assign, grant, convey, or license, any rights in the invention; | [?] |
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a small business concern whose number of employees, including affiliates, does not exceed 500 persons; and which has not assigned, granted, conveyed, or licensed (and is under no obligation to do so) any rights in the invention to any person who made it and could not be classified as an independent inventor, or to any concern which would not qualify as a non-profit organization or a small business concern under this section; | [?] |
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a nonprofit organization, that has not assigned, granted, conveyed, or licensed, and is under no obligation under contract or law to assign, grant, convey, or license, any rights in the invention to any person, concern, or organization which would not qualify as a person, small business concern, or a nonprofit organization; and is either: (A) A university or other institution of higher education located in any country; (B) An organization of the type described in section 501(c)(3) of the Internal Revenue Code of 19 86 (26 U.S.C. 501(c)(3)) and exempt from taxation under section 501(a) of the Internal Revenue Code (26 U.S.C. 501(a)); (C) Any nonprofit scientific or educational organization qualified under a nonprofit organization statute of a state of this country (35 U.S.C. 201 (i)); or (D) Any nonprofit organization located in a foreign country which would qualify as a nonprofit organization under paragraphs (a)(3)(ii)(B) of this section or (a)(3)(ii)(C) of this section if it were located in this country; or, | [?] |
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other. | [?] |
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| Check the boxes below to see if you qualify for up to a 75% fee reduction |
| Has the applicant or any joint inventor filed more than four U.S. non-provisional patent applications? | |
| If yes were those applications were from a prior employment and assigned to the prior employer? | |
| Did the applicant or any listed inventor have an income for the past year that was greater than $150,162.00? | |
| Have rights in the application been promised or licensed to a non-micro-entity? | [?] |
| Please enter any additional notes or special requests: |
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