Dkconsulting 1255 North Sandburg Terrace, Suite 2610, Chicago, Illinois 60610 USA Phone / Fax: 312-280-9287 Inventor Submission Form Date: Your Name: Your Email Address: Your Address: Your Address 2: Suite: City: State / Province: Zip Code: Phone: [ ] Fax: [ ] Step 1: Is every sheet of your Description and Drawings or Sketches (Fig. 1 to…..) numbered, contains your name, address, marked as your invention, dated, signed and notarized? [YES] [no] Do not send this sheet or any other documentation without fulfilling the requirements of this first “Step” or consulting a Patent Attorney. ========================================================================================================== I am interested in a non obligation Quote for the following Services: a) 3 technical solutions and 3D images. [YES] b) I want the best solution detailed upon my approval and receive 3D Part and Assembly Images + 3D Explosion Views in High Resolution format. [YES] [no] [not sure yet] c) I want Dkconsulting to create my promotional material. [YES] [no] [not sure yet] d) I want additional Manufacturing Drawings to build the Prototype myself. [YES] [no] [not sure yet] e) I want Dkconsulting to organize the Prototype manufacturing. [YES] [no] [not sure yet] f) I am additionally interested in: ========================================================================================================= Step 2: How do you call your Invention? ========================================================================================================= Step 3: What purposedoes your Invention have? ======================================================================================================== Step 4: Describe your Invention very briefly? ========================================================================================================= Step 5: Why do you think your Invention is a unique idea? ======================================================================================================== Step 6: Which device(s) to the best of your knowledge fall(s) in the same category? ======================================================================================================== Step 7: What makes your idea superior compared to the similar device(s)? ======================================================================================================== Step 8: Can you describe What triggered your idea? ======================================================================================================== Step 9: Is this the first time that you have an idea which may result in a Patent? If you have already a Patent please describe and give me the Patent Number. ======================================================================================================== Step10: Scan your Drawings and use any Word Processor to type your descriptions. If you don’t have a scanner just go to a “Kinko’s” branch and ask them to make an electronic file from your “notarized” drawings and have them stored on a floppy disk in jpg format. This image format allows easy email transfer. You can also use Kinko’s to type your descriptions and then notarize them. ======================================================================================================= Step11: Upload your Drawing / Sketch – Image files and description files into your computer and send them via email as attachments to: DKengineering.com@mindspring.com Please observe the size of the attachments > they should not exceed 1MB or 1000KB. ======================================================================================================== End of Form