Information Request Form

Section: Main.A2. TRADEMARK. INDEX. Z-Zm.Zenapax
Code: 33693
Product: CH. R
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest: INDICATION'S
LEGAL DISPUTES
COMPANY
LICENSEE
LICENSOR
LITERATURE REF.
PATENT ASSIGNEE
PATENT NUMBER
GENERIC NAME
MARKETING
PRODUCT

* If you are not linked to any company or organization complete at least this field