Patent Search International is in the business of researching a great number of different product
concepts, and its integrity depends on maintaining the confidentiality of each of the product concepts
presented to it. Patent Search International hereby agrees that the idea, invention, or product you are 
disclosing and which you believe to be your own original creation shall not be used, sold, assigned, or 
disclosed to any other person, organization. or corporation without your permission, and further, that none of 
the employees, agents, officers, directors of Patent Search International shall utilize the same in any manner 
unless specifically agreed to in writing by both parties.

Date ____________________

FILE NUMBER____________________

Authorized Signature

About Patent Search International

One of America's leading patent search organizations, Patent 
Search International has for many years been conducting patent
searches for inventors, business organizations and registered 
patent attorneys.

Patent Search International enjoys a superior reputation for 
being prompt, thorough and completely ethical. We are members
of Patent & Trademark Society, National Intellectual Property
Researchers Association and United Inventors Association


When you have completed this form, please send us photocopies of each page and any attached materials. 
Keep the original with our signature for your records. Be sure to enclose your check or money order.


Patent Search International now accepts major credit cards. Just list your card name, number and expiration date below.

MC ____ Visa ____ Amex____ Discover ____ Acct. # _______________________________________________Expr______________


 PATENT SEARCH INTERNATIONAL... helping thinkers become doers