I want my invention "patent pending" . 
Start the online process now!

Confidential Disclosure & Provisional Patent* Application Contract

This form affirms our agreement that all disclosures made to Rhett Brockington of  Internet-Patents.com of Charlotte, NC in the USA (the "Firm")
by (Name) (the "Inventor")
of (City) , 
(State/D.F./Province:(US & Canada only ,
the (Country) regarding the technology,
entitled " " (herein after referred to as the "Invention"),  are to be considered confidential.

        Such disclosures are made to the Firm for the purpose of assuring confidential disclosure of the Invention, and defining the contractual expectations for the preparation of a Provisional Patent Application. The contractual expectations delineate the cost, the timing, and generally outline the process of preparing the provisional patent application. 

       The process is comprised of two steps, which, solely at the Inventor's discretion, can be terminated at any time, without prejudice, and that the Firm has no rights to the invention.

Step 1: Inventor pay the retainer, which is to be applied to the cost of preparing the Provisional Patent Application. Retainer can be paid by any mutually agreeable means. Generally, mutally acceptable means are by personal check, money order, cash, Visa or Master card through Paypal, cashiers check, and international cashiers check.

Step 2: Firm prepares a Provisional Patent Application. Preparation fee is $1700. 
            Government filing fees are currently $75, for a total cost of $1775.

Provision 1. In the event that the contractual agreement is ended prior to completion, it is agreed that said disclosures will be maintained in confidence by the Firm.  Funds, less the retainer, are refundable up to the date the draft is sent to the inventor.

Provision 2. Inventor is to pay all PTO fees, which are currently $75 for the provisional application filing fee (small entity).

The contractual agreement is set forth below, and is binding upon execution, wherein execution consists of the following:

Step 1 (detailed): .....Cost $100 - Retainer - To be Applied to Step 2

    1. Inventor - Signs and returns this agreement, discloses the invention - to include pictures where appropriate, divulges patent search and competive product information, and  and pays retainer.  Checks are to be paid to the order of F. Rhett Brockington.
    2. Firm - Issues a receipt to inventor, and drafts provisional patent application.

Step 2(detailed): .......Cost $1600 + $75 (Government filing fee)

    1. Firm - Sends Inventor an initial draft, and after editing by the Inventor, a final draft. Firm prepares accessory documents including a POA, Small Entity Status Statement. Sends a Billing Statement and copy of Application to the Inventor.
    2. Inventor - sends a check for $1675 to cover balance.
    3. Firm - mails application and fees to PTO. Firm notifies Inventor of actual filing date and serial number, and issues a receipt.
Please complete the information below, and click on the "Prepare The Application" button.  You will be emailed a copy.

Inventor / Title

Principal of Internet-Patents.com


Inventor's Signature

Principal's Signature

February 18, 2008

Date

Date

Email

Payment Method

Pay Pal          
Company

Personal Check         

Money Order          

Maililing Addres - Street / PO Box Cashiers Check          

Int. Cashiers         

State Zip Purchase Order          
Country

Purchase Order Number          

Telephone Number
Description Of The Invention
 

* Note: A Provisional Patent Application is not the precursor to a Provisional Patent.  This Application expires after 1 year. Applicant can file a utility patent application and claim the earlier filing date.