Seller Information Form SHARE Twitter Linkedin Facebook Email PRINT Please provide as much information as possible. An RPX representative will contact you within two business days. *Seller/Company Name: Please enter your Company Name *First Name: Please enter your First Name *Last Name: Please enter your Last Name Address: City: State/Province: Zip: Country: *Phone: Please enter your Phone No *E-Mail: Please enter a valid Email Id Broker Name, if Applicable: Owner of Patents: Patent/Application Numbers: *Bid Deadline, if Applicable: Please enter a Bid Deadline *Valuation Expectations: Please enter your valuation expectations Please provide a brief description of the technology and to whom it applies: *You agree to the terms and conditions of our Non-Notice Agreement: Please check on terms and conditions By pressing the “Submit” button below, you agree to the terms and conditions of our Non-Notice Agreement.