Data Bank Form

Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Company Name*

Job Title*

Primary Business*

SIC Codes (Optional)

Website (Optional)

Product Areas of Interest (Select all that apply)*

Comments

It is understood and agreed that any ideas, inventions, products, trade secrets or processes described, revealed or released by INVENTHELP® to the COMPANY named above and registered in the INVENTHELP® Data Bank, shall be held in strict confidence, and will not be revealed or released by the COMPANY named above, to any outside parties or companies, and will not be manufactured, marketed or reduced to any form of use, without appropriate payment and the express, written consent of INVENTHELP®. Confidential information covered hereunder does not include an invention that the COMPANY can demonstate by its written records a) was known to the COMPANY and/or previously independently developed by the COMPANY prior to the disclosure by INVENTHELP® b) is lawfully acquired by the COMPANY through third party under no obligation of confidence to INVENTHELP®, or to INVENTHELP'S clients.

Signature

Data Bank Signup Form

Confidentiality & Non-Use