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Confidentiality Agreement

I Understand that submitting my idea is not a release and that this information cannot be used, disclosed or sold without my express written permission. I also understand that all GloberDesign Employees are required to sign a confidentiality agreement for my protection. I believe, to the best of my knowledge, that i am the original inventor of the idea described herein. I
authorize GloberDesign to provide me with a discussion about my idea at no cost and with no purchase necessary.
By signing below, I signify that I understand that GloberDesign and its employees and subcontractors do not perform analysis ofthe potential feasibility, marketability, patentability or profitability of ideas submitted to it. New product development is an uncertain endeavor and GloberDe-sign does not represent or guarantee, expressly or impliedly, that an idea
submitted to it will be licensed, sell on any market or provide a positive return to the inventor on money spent for development.

I have read and understood the agreement above above
First Name

       Last Name

Address 1

Address 2


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Name your invention

Invention Description

Approximate size of invention in Inch (W"xL"xH")


How many parts separate approximately would it made from

What materials will it be made?

Are there any mechanical moving parts (E.G, Hinges, Locks, Pulleys...)


If there are mechanical moving parts, please describe them
Are there any electronics or electricity needed for this invention?


If there are electronic parts, please describe them
Do you have any Sketches/Prototype made?

(if not it's perfectly fine) YESNO

Services I need help with:
Not SureSketching3D Computer CAD ModelPrototype3D Computer AnimationProduct DesignElectrical EngineeringManufacturingPatent DrawingsPackage DesignMarketing MaterialsWeb DesignGraphic DesignOther

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Are you at least 18 of age or older


Regulatory code 35 United States Code §297

The statements bellows were last updated on October 4th 2012:
According to regulatory code 35 United States Code §297 requires that the following information be provided to you:
The total number of inventions evaluated by GloberDesign for commercial potential in the past 5 years is 332, as well as the number of those inventions that received positive evaluations O, and the number of those
inventions that received negative evaluations 0;
The total number of customers who have contracted with GloberDesign in the past 5 years, not including customers who have purchased trade show services, research, advertising, or other nonmarketing services from the invention promoter, or who have defaulted in their payment to the invention promoter are 332;
The total number of customers known by GloberDesign to have received a net financial profit as a direct result of GloberDesign services provided by such invention promoter are 19; which means that 5% ofour clients get a net financial profit from our services.
The total number of customers known by GloberDesign to have received license agreements for their inventions as a direct result of the invention promotion services provided by such invention promoter are 2;The names and addresses ofall previous invention promotion companies with which GloberDesign or its officers have collectively or individually been affiliated in the previous 10 years: Abagada LLC. DBA GloberDesign 290 174th st. #2014 Sunny Isles Beach, FL, 33160

I have received and read the information above