Bid Submission Form

Please print and complete this form in its entirety and deliver the executed form to:, 15515 Sunset Bl., Suite 115, P.P., CA 90272
Phone 310-355-6046, Fax 310-454-9592, Email:

Click Here for an Online Bid Submission Form ("IntellectualPropertyBid") is offering for sale by Sealed-Bid Auction the Intellectual Property displayed at: The assets that are offered will be sold as one lot. Please be advised of the following: All bids must be received by IntellectualPropertyBid by 5:00 p.m. (Eastern Standard Time) on Sunday, September 30, 2001. IntellectualPropertyBid reserves the right to extend this deadline in its sole discretion. Bids received after this deadline will not be considered. By submitting a bid, you are acknowledging and agreeing to all of the terms and conditions posted at, which govern all auctions that take place on IntellectualPropertyBid’s website, as well as the additional terms and conditions of the particular auction posted at All bids that are submitted are unconditional. By submitting this bid, I agree to all of the foregoing terms and conditions (including those incorporated by reference to other areas of IntellectualPropertyBid’s website). reserves the right to reject any or all bids.

My unconditional bid is as follows: $____________________
(Bid for the Entire Intellectual Property Portfolio of the former Liquipharm Inc.)

________________________________      ___________________________________
Name of Bidder                                          Name of person to be contacted if bid is successful

_________________________________     ___________________________________
Signature of Bidder                                    Address of contact person
or authorized representative

_________________________________     ___________________________________
Name of signatory                                       Telephone number of contact person
(if authorized representative)

_________________________________     ___________________________________
Title or position of signatory                      Facsimile number of contact person
 (if authorized representative)

Email address of contact person

Click Here for an Online Bid Submission Form