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Invention Disclosure Form

(Keep Confidential)

Do the following :

1.      Print out the following form OR copy and paste it to your word processor or e-mail.

2.      Fill in the form in the spaces provided on the following page.

3.      Return the completed form by e-mail, e-mail attachment, FAX, or postal mail. 

4.      If necessary send any extra drawings, photos, or sketches by e-mail, e-mail attachment, FAX, or postal mail.  Do not send the original drawings, photos, or sketches of your invention
(only send copies).

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Date:

Contact Information

Name:

Address:

Phone:

Fax:

E-mail:

 

 

Circle or write the type of patent search requested:

(Novelty, Collection, Infringement, Right-to-Use, State-of-the-Art, or Validity.)

Invention Information

Description of invention (also include the context, advantages and purpose of the invention):

 

 

Known competitors:

 

 

Sketch, drawing, or photos of the invention
(use more space if needed):