ORDER FORM
Freedom to operate search

Data of customer:

Name/Company name (invoicing name): 	
Address/Seat (invoicing address): 	
Notification address (if different from Address/Seat):	
Phone: …………….….............. Fax: ............................	... E-mail: ...……...................................

1.	Freedom to operate search is requested for following solution / for the solution described in the attached annex(es): ….……..……………………………………………………...…
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
Annex(es): …... pc(s)

2.	Search report is to be delivered 
 by post.* 
 by fax (available up to 10 pages).*
 by e-mail.*
 personally at the Customer Service of the Hungarian Patent Office.*

3.	Method of payment: 
 in cash on the spot* 
 by bank card on the spot*
 by bank transfer*
 by postal cash-transfer order*

4.	Preferred date of the delivery of the search report shall be within …… days from the establishment of the contract / until ….. day ……. month …….. year.

5.	Remarks: ……..…………………………………………………………………………...
………………………………………………………………………………………………

I hereby declare that I have read the General Terms and Conditions governing the furnishing of the present service of the Hungarian Patent Office and the information on the service fee and I accept them as binding.

Done at ……………, ….. day ……. month ……..year
……..……………………………..
(authorised) signature of customer