PERSONAL
First Name
*
Last Name
*
Business email address
*
BUSINESS
Job Title
*
Job Role
*
-- Please Select --
Academic Executive
Academic Researcher
Accountant
Administrator
Analyst/Researcher (Corporate)
Attorney/Lawyer
Banker
Bioinformatician
Biologist
Brand Manager
Business Development and Licensing
Business/Competitive Intelligence
CEO/CTO/COO/CSO
Chancellor/Vice Chancellor
Chief Intellectual Property Officer
Chief IP Counsel
Clinical Development
Clinical Operations
Clinical Project Management
Clinical Research Scientist
CMC, API and/or Chemical Sourcing
Competitive Intelligence Professional
Consultant
Contracts Specialist
Coordinator
Dean
Department Dean
Department Head
Discovery/Drug Discovery
Discovery Research Scientist
Docketer
Docketing Manager
Editor
Editor in Chief
Editorial Office Manager
Engineer
Founder
General Legal Counsel
Grant Administration/Management
Head of Commercialization/Entrepreneurship
Head of Graduate Research
Head of Industry/Corporate Alliances and Partnerships
Head of Innovation
Head of Intellectual Property (Academic)
Head of IP
Head of IP CIPO
Head of Licensing
Head of Patents
Head of Portfolio Strategy
Head of Postgraduate Research
Head of R&D
Head of Regulatory
Head of Research
Head of Research Administration
Head of Research Integrity
Head of Research Office
Head of Strategic/Institutional Initiatives
Head of Strategy
Head of Therapeutics
Head of Undergraduate Research
Information Professional
Institutional Leader
Instructor/Reader
Inventor
IP Counsel
IP Legal Assistant
IT Manager
Judge/Examiner
Law Firm Partner
Lecturer
Lecturer/Senior Lecturer
Legal Counsel
Librarian
Librarian - Circulation/Catalogue
Librarian - Collection Development
Librarian - Corporate
Librarian - Government
Librarian - Instruction/Liaison
Librarian - Medical
Librarian - Research
Librarian - Scholarly Communications
Librarian - Subject
Library Executive
Licensing Professional
Market Analyst
Marketing Professional
Masters Student
Medical Professional
Medicinal Chemist
Other
Owner
Paralegal/Legal Executive
Partner
Partner - Law Firm
Patent administrator
Patent Agent
Patent Attorney
Patent Attorney Litigation (Law Firm)
Patent Attorney Prosecution (Law Firm)
Patent Engineer
Patent Examiner
Patent Researcher
Peer Review Manager
Pharmacologist
PhD Student
Policy Maker/Policy Director
Portfolio and Strategy Manager
Portfolio Strategy
Postdoctoral Research Assistantship/Fellow
Preclinical Development
President/Vice President
Press/PR/Media Professional
Principal Investigator
Product Developer
Product Planning
Professor
Professor Emeritus
Program Manager
Project Management
Provost/Vice Provost
Provost/Chancellor
Publisher
Purchaser
Purchasing/Sourcing/Procurement
Regulatory Professional
Regulatory Strategy/Affairs/Compliance
Research Administration
Research and Development
Research Scientist
Sales
Senior Researcher
Sourcing & Manufacturing
Standards Manager
Student
Technical Specialist
Technology Transfer Professional
Tenure Track
Trademark Agent
Trademark Agent - In-House Counsel
Trademark Agent - Law Firm
Trademark Attorney
Trademark Attorney - In-House Counsel
Trademark Attorney - Law Firm
Training Specialist
Undergraduate Student
Venture Capitalist
Vice Chancellor
Business Phone
*
Organization Name
*
Organization Type
*
-- Please Select --
Academic
Advertising/Marketing
Aerospace & Defense
Agriculture
Automotive
Biotechnology/Life Sciences
Chemicals
Construction
Consumer Products or Services
E-Commerce/Internet/Computing
Engineering
Finance/Banking/Accounting/Venture Capital
Food Products
Government
Health Care Equipment & Supplies
Health Care Providers & Services
Information broker
Insurance
IP Services - Consulting
Legal Services
Manufacturing
Media/Publishing
Non Profit
Oil & Gas/Mining Energy
Other
Patent Library/Office
Pharmaceuticals
Private individual
Professional Services
Real Estate
Shipping/Transportation
Society/Association/NGO
Technology
Telecommunication Services
Textiles, Apparel & Luxury Goods
Travel/Recreation/Entertainment
Utilities
Area(s) of Interest
Copyright
Design & Models
Domain names
Patent
Trademark
Unfair competition
LOCATION
State or Province
*
-- Please Select --
Outside North America
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Federated Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
US Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territories
Country/Region
*
-- Please Select --
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
US Virgin Islands
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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HIDDEN FIELDS BELOW
SBU of Lead
-- Please Select --
CompuMark
IP and Standards
IP Management
Life Sciences
MarkMonitor
Scientific and Academic Research
Primary Product
-- Please Select --
AntiFraud
AntiPiracy
Author Connect
Brand Protection
Connected IP Payments
Converis
Cortellis
Custom Data
DartsIP
Derwent
Discontinued MM
Domain Mgmt
EndNote
InCites Platform
Integrity and drug discovery
IP Services
Life Sciences Services
MetaCore and systems biology
Newport and generics
Online
Other CompuMark
Other Life Sciences
Publisher Products/Services
Publons
Saegis
ScholarOne
Scientific and Academic Research Services
Search
Techstreet
The IP Management System
TM Vision
Watch
Web of Science Platform
Sub Primary Products
-- Please Select --
Abstracts
Agro Patent Fast Alert
AntiFraud
AntiPiracy
Author Connect
Biomarkers
BioWorld
BioWorld MedTech
BioWorld Science
Brand Protection
Clinical and Regulatory
CMR Institute
Converis
Copyright/Title
Cortellis
Cortellis Clinical Trials Intelligence
Cortellis CMC Intelligence
Cortellis Competitive Intelligence
Cortellis Deals Intelligence
Cortellis Digital Health Intelligence
Cortellis Drug Discovery Intelligence
Cortellis Generics Intelligence
Cortellis Informatics
Cortellis Regulatory Intelligence
Custom Data
Custom IP Applications
DartsIP
Derwent API
Derwent Data Analyzer
Derwent Data Feed
Derwent Drug File
Derwent Innovation
Derwent Patents Citation Index
Derwent World Drug Alert
Derwent World Patents Index
Discovery and Translational
Domain Mgmt
Drug Research Advisor
Drugs of the Future
Drugs of Today
EndNote
Essential Science Indicators
File Histories and Document Services
Incidence and Prevalence Database
InCites
InCites Benchmarking & Analytics
InCites Commercial APIs
Integrity
IP Administrative Services
IP Payments
IP Transactional
Journal Citation Reports
Key Pathway Advisor
Kopernio
Life Sciences Services
LSPS - Pharmacovigilance Consulting
LSPS Enabling Technology
Manuscripts
MetaBase
MetaCore
MetaDrug
Newport
Online
Other CompuMark
Patent Analytics Services
Patent Licensing Services
Patent Preparation and Prosecution Services
Patent Search Services
Patent Translation Services
Portfolio and License
Proceedings
Publisher Report
Publons
Publons Batch Upload Service
Publons Profiles API
Publons Reviewer Connect
Publons Reviewer Recognition Service
Publons Transparent Peer Review
Royalties Life Sciences
Saegis
Scientific and Academic Research Services
Search
SequenceBase
Techstreet
The IP Management System
TM Vision
TMgo365
Virtual IP Office
Watch
Web of Science Backfile
Web of Science Citation Connection
Web of Science Core Collection
Web of Science Regional Citation Indexes
WoS Commercial APIs
WoS Non-Commercial APIs
Lead Source - Most Recent
-- Please Select --
Customer Care
Customer Referral
Direct Mail
Email
Email - 3rd Party
Event - 3rd Party
Event - Hosted
Paid - Digital Advertising
Paid - Facebook
Paid - LinkedIn
Paid - Print Advertising
Paid - Search
Paid - Twitter
Paid - WeChat
Paid - YouTube
Public Relations
Purchased List
Sales - Cold calling
Sales - Cross/up-sell
Sales - External referral
Sales - Inbound call
Sales - Internal referral
Sales - Target list
Social - Blog
Social - Facebook
Social - LinkedIn
Social - Twitter
Social - WeChat
Social - YouTube
Telequalification
Training (not scored)
Web Form
Web form (3rd party)
Webinar - Hosted
Webinar - Sponsored
Webinar - Sponsored CA Speaker
Last Follow Up
-- Please Select --
Follow Up Required
No Follow Up Required
Lead Routing
-- Please Select --
Assign
DartsIP
EndNote
IP Services Sales
Marketing
Patents Sales
Publisher/Association
Publons
Sales
Scholar One Abstract
Scholar One Manuscript
Techstreet
Trademarks Sales
Training
Lead Status
-- Please Select --
New
Accepted/In Progress
Converted - Contact
Converted - Opportunity
Rejected/No Potential
Marketing Lead Status
-- Please Select --
MCL
MQL
SGL
SAL
Converted Contact
Converted Opportunity
Rejected/No Potential