Write My Own Deal With All About Inventing

Entrants Name
"If entered by company" Name of Company:
Address
City
State
Zip
Country
Email
Phone
Other Contacts
Product Name
Patent Number
OR, Patent Application Reference Number:
Do you have a Prototype made?	YesNo
Do You Have Pictures?	YesNo
Do you have Blueprints or Drawings?	YesNo
Has this product been for sale to the public?	YesNo
If Yes how long:
What are the product's use / function / purpose / application?
Fabrication Information: From what materials is this product made?
I have read, understood, and agree to the foregoing terms and conditions.
Entrant's Signature
Date:

Invention Contest Submission Form