Project Submission for Review:

CONTACT INFORMATION: 

NAME:
STREET:
CITY:
STATE:
ZIP:
PHONE:
E-MAIL:

I PREFER TO BE CONTACTED:

By E-Mail By US Mail By Phone Call

PRODUCT EVALUATION:

Do you have a patent?	Yes No
Do you own the rights to the patent?	Yes No
Have you sold any of the products?	Yes No
	If so how many?
What field is your product for? i.e. home, auto, toys, etc...
Automotive Children Construction Garden Home Medical Tools Toys Other: Please Select one of the following:
What comments have others said about your product?
What makes this product better then the closest equivalent?
Do you wish to License or sell your patent?	License Sell
Please describe your product in detail:

*NOTICE*

We will use the information above to make an informal evaluation of your product, and to determine whether our firm would be the right fit for your product.  If we have a serious interest we will contact you from the information you have provided above.