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- CONCEPT DISCLOSURE
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- INVENTOR: _____________________________ DATE: _______________
- INVENTION: _________________________________________________
- PAGE 1 OF _________
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- A. OBJECTIVE: (CONTINUED ON PAGE _______ OF _______)
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- B. DEFINITION: (CONTINUED ON PAGE _______ OF _______)
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- C. FEATURES: (CONTINUED ON PAGE ________ OF ________)
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- D. COMPARISON WITH EXISTING TECHNOLOGY:
- (CONTINUED ON PAGE _______ OF _______)
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- E. USES:
- (CONTINUED ON PAGE ________ OF _______)
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- Page 2 of _____ Invention Disclosure Form
- Inventor: _______________________________ Date: ______________
- Invention: __________________________________________________
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- F. IMPORTANCE:
- (CONTINUED ON PAGE ________ OF _______)
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- __________________________________________________________
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- G. BACKGROUND:
- (CONTINUED ON PAGE ________ OF _______)
- __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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- H. INVENTOR IDENTIFICATION INFORMATION:
- (CONTINUED ON PAGE ________ OF _______)
- NAME: _____________________________________________________
- ADDRESS: __________________________________________________
- CITY: ________________________ STATE: _________ ZIP: __________
- HOME TELEPHONE: _______-________________
- WORK TELEPHONE: _______-________________
- S.S.#: _________-________-__________
- DRIVERΓÇÖS LICENSE NO. ________________________ STATE:___________
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- MISC. INFO:
- (CONTINUED ON PAGE ________ OF _______)
- __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- ____________________________________________________________________________________________________________________________________________________________
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- Page 3 of _____ Invention Disclosure Form
- Inventor: _______________________________ Date: ______________
- Invention: __________________________________________________
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- TYPE OF INFORMATION: (CONTINUED)
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- From (letter ID.):_________ Page ______ ______________________________________________________________________________
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- IDEA GRAPHIC:
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