New Client Information Form | Murgitroyd, European Patent & Trade Mark Attorneys

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Step 1 of 4

Legal/Prosecution Manager Contact Information For Your Business:
Name
Title First Name Last Name
Job Title
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Client Portal Access
- Yes
- No
YES? Who needs access?
Contact Name(s) Email Address(s) Work Address (if different from above)
Correspondence For Cases (if different from prosecution manager above)
Our default is to send all correspondence via email except for original certificates of grant. If you need this to be different, please note this under “special instructions below”.
Correspondence Contact
Title First Name Last Name
Correspondence Email
Where To Send - Physical Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Would you like copies sent to anyone?
- Yes
- No
Correspondence Contact
Title First Name Last Name
Correspondence Email
Correspondence Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Do you want Murgitroyd to be responsible for monitoring and payment of renewals?
- Yes
- No
Correspondence Contact
Title First Name Last Name
Correspondence Email
Correspondence Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
If powers of attorney documents are required, do you want to execute general or specific power of attorney documents?
- General
- Specific

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Accounts & Invoicing: Part 1
Accounts Receivable Physical Mailing Address:
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Attention to:
Title First Name Last Name
Email
Accounts Special Instructions:
Invoicing Type
Please state the main currency in which you would like your invoices issued:
Type of Invoices Requested:
- Individual
- Monthly Consolidated
- Electronic - e-billing platform upload
Specify electronic - e-billing platform used*
Name of electronic e-billing platform used*
Please provide billing system info
Contact for billing system
Title First Name Last Name
Phone
Email
Do you require a PO No. on your invoices?
- Yes
- No
If YES, please provide the contact information for who assigns this PO #:
Title First Name Last Name
Phone
Email
Accounts Payable Physical Mailing Address (If different from above):
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Attention To
Title First Name Last Name
Email
Invoicing Special Instructions (if different from above):

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Accounts & Invoicing: Part 2
Murgitroyd sends an electronic statement each month to all clients showing current outstanding invoices.
Where would you like the Statement of Accounts to be sent?
Title First Name Last Name
Phone
Email
Who is responsible for actual payment of invoices?
Title First Name Last Name
Phone
Email
In the event an invoice becomes overdue who would you like us to contact (if different from above)?
Title First Name Last Name
Phone
Email
Please forward a full remittance advice to us with all your payments to accounts@murgitroyd.com.
Do you need us to complete a supplier registration form and/or any tax forms (W-8BEN form, etc.)?
- Yes
- No
If YES, please forward a copy to creditcontrol@murgitroyd.com.
If you wish to query an invoice, please contact creditcontrol@murgitroyd.com.
Any further information you would like to provide?

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Please note that your personal data provided to us will be used to facilitate your request. This data will be shared in accordance with the Data Protection regulations for further information please see our Privacy Policy

Step 1 of 4

Who is completing the form?

General Contact Information For Your Business:

Your Company Demographics

Legal/Prosecution Manager Contact Information For Your Business:

Correspondence For Cases (if different from prosecution manager above)

Accounts & Invoicing: Part 1

Invoicing Type

Accounts & Invoicing: Part 2