European Patent Order Form

Name: *

Organisation: *

Organisation address: *

Telephone Number: *

Email adress: *

EP number: *

Order for the Grant & Printing stage (from receipt of Communication 71(3):

The Druckexemplar is the accepted text

Amendments were requested to the Druckexemplar

Translation of the claims, payment of the outstanding official fees, filing of the translation, reporting filing

Translation of the claims only, we will file the translation and pay the outstanding fees

No, thank you

Order for the Validation stage (from Grant):

Yes

Please attend to the payment of all annuities:

Yes, please

only for the annuity due at the time of validation

No, thank you

Power of Attorney Forms:

We have general Powers of Attorney forms on file with Murgitroyd & Company

Please send me general Power of Attorney forms wherever available

Please send me specific Power of Attorney forms only