EVALUATION & CONFIDENTIAL INVENTION DISCLOSURE REQUEST

CONFIDENTIAL DISCLOSURE UNDERTAKING:
The Institute of Inventors undertakes to treat all Potential Proprietary Invention Disclosures
as confidential and not reveal same without Inventor's consent..
iTo
 President - Institute of Inventors

Please evaluate my invention's merits - Is it New? Can it Work? Is it a Better? Will it Sell?

Invention....................................................................................(title)

Inventor...............................................  Signed............................................ Date:.................

Address ......................................................................................................................................

........................................................................................................................

Tel: (home): ........................................Tel: (work): ................................................

Mobile: ............................................................
N.B.  One Invention Evaluation per annum free.  (Additional submissions are £40 each).
MEMBERSHIP NO. (if known): ........................................................................
(tick and attach as appropriate)
Patents: / No Patent  / Patent Applied for  /  Patent Granted   /  Patent Lapsed  / 
Models available: / No models / Mock Model / Working Prototype / Production models /
Illustrations available: / Drawings / Free hand sketches / photos /

Users: - Some major buyers are....................................................................................................

Use:.Some specific uses are...................................................................................................................

Benefits Some specific benefits are .......................................................................................................

Description: Briefly invention comprises ...........................................................................................................

.......................................................................................................................................

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N.B. Please answer all questions even if given on other documents.
Please attach further info only if available..