Exit Service Provider Registration Form Question Title * 1. Please submit the following information on behalf of your organization: Name of Organization: Mailing Address: Email: Phone Number: Website: Point of Contact Name: Point of Contact Email: Question Title * 2. Provide a proposal on behalf of your organization, describing your experience in providing advisory services related to protecting, enforcing and implementing intellectual property rights and strategy. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Provide a proposal on behalf of your organization, describing your experience in providing advisory services related to protecting, enforcing and implementing intellectual property rights and strategy. Question Title * 3. From the AccelerateIP Stream 2 eligible services listed below, select the areas of expertise of your team in IP: IP Audits IP Budget Review IP Competitive Analysis IP Strategy IP Portfolio Valuation Analysis of IP Landscaping Common Contracts and Document Templates (ie: employment agreements, contractor agreements, IP assignment or transfer agreements or NDAs) Freedom do Operate or Infringement Searches Legal Contractual Analysis (i.e.: Commercialization of IP Opportunities) Out-licensing Strategy Development Patentability Analysis Prior Art Search Trademark and Branding Strategies Trademark Clearance Searches Question Title * 4. From the AccelerateIP Stream 3 eligible services listed below, select the areas of expertise of your team in IP: IP Registration Legal Contractual Drafting (i.e.: Commercialization of IP Opportunities) Patent Application Patent Registration Trademark Application Trademark Registration Industrial Design Application Industrial Design Registration Filing Fees Question Title * 5. Please provide the following information for the top three professionals in the firm that will most likely work with AccelerateIP clients:(If you want to list more than three team members, feel free to add them and the details listed under questions 5 and 6 to your proposal) Team Member 1 - Name: Team Member 1 - Email: Team Member 1 - Qualifications:Lawyer, Patent Agent, Trademark Agent, Other (Specify) Team Member 2 - Name: Team Member 2 - Email: Team Member 2 - Qualifications:Lawyer, Patent Agent, Trademark Agent, Other (Specify) Team Member 3 - Name: Team Member 3 - Email: Team Member 3 - Qualifications:Lawyer, Patent Agent, Trademark Agent, Other (Specify) Question Title * 6. Please provide the following information for the the three professionals in the firm that will most likely work with AccelerateIP clients: Team Member 1 Team Member 2 Team Member 3 Agriculture Agriculture Team Member 1 Agriculture Team Member 2 Agriculture Team Member 3 Advanced Materials & Manufacturing Advanced Materials & Manufacturing Team Member 1 Advanced Materials & Manufacturing Team Member 2 Advanced Materials & Manufacturing Team Member 3 CleanTech CleanTech Team Member 1 CleanTech Team Member 2 CleanTech Team Member 3 Consumer Retail Consumer Retail Team Member 1 Consumer Retail Team Member 2 Consumer Retail Team Member 3 Digital Media & Telecommunications Digital Media & Telecommunications Team Member 1 Digital Media & Telecommunications Team Member 2 Digital Media & Telecommunications Team Member 3 Education Education Team Member 1 Education Team Member 2 Education Team Member 3 Financial Services Financial Services Team Member 1 Financial Services Team Member 2 Financial Services Team Member 3 Food & Beverage Food & Beverage Team Member 1 Food & Beverage Team Member 2 Food & Beverage Team Member 3 Forestry Forestry Team Member 1 Forestry Team Member 2 Forestry Team Member 3 Life Sciences & Health Life Sciences & Health Team Member 1 Life Sciences & Health Team Member 2 Life Sciences & Health Team Member 3 Mining & Oil Gas Mining & Oil Gas Team Member 1 Mining & Oil Gas Team Member 2 Mining & Oil Gas Team Member 3 Tourism & Culture Tourism & Culture Team Member 1 Tourism & Culture Team Member 2 Tourism & Culture Team Member 3 Transportation Transportation Team Member 1 Transportation Team Member 2 Transportation Team Member 3 Submit