DCP Confidentiality Agreement & Questionnaire

DCP Confidentiality Agreement + Questionnaire
Completing and submitting this Confidentiality Questionnaire entitles you to one free consultation and estimate for your invention*.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
Product Name*
Describe your invention*
Primary Benefits?
What legal, product development or marketing work have you accomplished to date?
How can we help you?
How did you hear about us?
Please attach and upload all work completed on your product to date. Providing more detail typically saves time and expedites the review process*.
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Phone (724) 249-6183 - Fax (888) 446-0897 - Email: contact@dcpsvcs.com
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* Dirt Cheap Prototypes may initially provide an estimated cost range for services and reserves the right to pass/not quote if there is not enough detail or if there are feasibility or other concerns.
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DCP Confidentiality Agreement + Questionnaire