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Form: Record of Invention

Record of Invention Form

Be it known to all that:
First Name*
Last Name*
Second Inventor:
First Name*
Last Name*
Third Inventor:
First Name*
Last Name*
Fourth Inventor:
First Name*
Last Name*
Fifth Inventor:
First Name*
Last Name*

 

Address*
City*
State/Province*
Zip*
Country
Best Phone*
( ) -
Email*
has invented the Invention now known as:*
(50 Characters Max)
Market Area of Invention
What is your Invention idea?*
(255 Characters Max)

characters left
   
Is it an improvement to an existing product?*
Yes No
   
Have you seen anything like it? *
Yes No
   
How much could it cost?*
   
Do you think it would sell?*
Yes No

Have you made a model?*
Yes No

If not, can you make a model?*
Yes No


Statement Of Complete Confidentiality

All information provided herein, or disclosed to InventSAI, LLC in any other manner at any time, is protected without exception by this Statement of Complete Confidentiality under applicable law. No one associated with SAI shall knowingly disclose the invention idea nor attempt to compete with Inventor.

* Required Field