The President
The Institute of Inventors
19, 21 & 23 Fosse Way,
EALING, LONDON W13 OBZ

Tel.: 020 8998 3540 or 020 8998 6372      Fax: 020 8998 6665

 Product & Patent  Search Request

Please carry out an on-line World Product & Patent Search costing £140.00  for Published anticipations of
my Invention titled:-

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Please give specific keywords describing essential parts/construction of your invention and uses:-

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I accept the World Patent  Search fee of £140.00

Please charge my Maestro/Debit/Amex/Visa/Master Card No.

Valid from .................. Valid to end: …......…… Security No. .................Issue No.: …..

Signed: ...................................................... Date: ..............................................

Name: ……………………….……………………………………………………………..

Address: …………………….……………………………………………………………..

Membership No.: ......................................................................................................

Phone (H): ................................................. (W): ...................................................

Search Fee includes a print out of the on-line Search results, and if close anticipations are found, a print out of Anticipation.