Client Intake – Casimir Jones, S.C.

Client Intake Form

Contact Info

Please let us know how we can reach out to you regarding your request.

Your Name(Required)

First Last

Company Info (If Applicable)

Your Email Address(Required)

Your Phone(Required)

Preferred Method of Contact

Best Time To Reach You(Required)

How Did You Hear About Us?

Service of Interest

Please let us know what's on your mind. Have a question for us? Ask away.

Desired Services:

Patent Law

Trademarks

Other

Please Enter The Service(s) You Are Requesting:

Have You Applied For A Patent/Trademark Previously?(Required)

Description Of The Technology Or Product - Required For Patent & Trademark Services

For Patent services please provide a brief description of the technology or product, including a non-confidential overview of the problem you hope to solve with the technology.

Product / Technology Description:(Required)

Description Of Services Of Interest:(Required)

Additional Info

Please give us an additional information that you feel is necessary.

Enter Additional Info:

CAPTCHA