Express of Interest for Business Partnership

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Request for Support Services on Technology Commercialization Ref No: All information will be kept strictly confidential (For office use only) Part I: Information of Requisition Party Name of Requestor: Company Name: Address Tel: Email: Fax: Website: Position: *Technology ownership Patent Owner Inventor Others, pls specify * Please tick where appropriate Part II: Patent / Technology Details Title of patent / technology: Patent application and its progress: Description of patent / technology: Part III: Request of Services from the Hong Kong Productivity Council Technical and Professional Services Review and refinement of product design / patentability review Testing and Evaluation Business Plan Review Commercialization Review, Marketing Strategy and Productization Strategy Development Others, Please specify: Marketing and Promotion Services Advertisement on HKPC Magazine Technical Seminars Market Survey / Market Intelligence Review Others, Please specify: * Please tick where appropriate Note: The Hong Kong Productivity Council does not offer any R&D funding scheme or investor referral services Applicant’s signature: ___________________________ Date: ______________________________ Please send the completed form to Ms Philomena Lau at email: philomena@hkpc.org or fax: 2788 5700. Postal Mail: The Technology Commercialization Unit, IIPD, Hong Kong Productivity Council, 78 Tat Chee Avenue, Kowloon Tong, HONG KONG IIPD/2206/F002 (11/2007 E) Page 1 of 1

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