| Ernest
H. McCoy PATENT ATTORNEY PATENT LAWYER INTELLECTUAL PROPERTY LAWYER IP LAWYER IP ATTORNEY |
| NDA INFORMATION FORM |
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Name
of client:
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___________________________________ | |
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DBA;
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___________________________________ | |
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Business
address of client:
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___________________________________ ___________________________________ |
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Home
address of client:
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___________________________________ ___________________________________ |
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Telephone
numbers:
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Bus________________________________ Home_______________________________ Fax________________________________ |
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E
mail :
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___________________________________ |
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| Indicate next to the address and telephone numbers which are to be used and if there is any restriction with respect to the other numbers and addresses for communications on the subject matter. | ||
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Name
of party or entity disclosing information under the NDA if other than
client;
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_______________________________________________________________________________
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_______________________________________________________________________________
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Address
of disclosing party: _________________________________________________________
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_______________________________________________________________________________
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Name or brief description of information to be disclosed. Bruce & McCoy will review the name selected by the disclosing party in view of the following description or information to determine if it is adequate for the NDA. This is a critical part of the NDA. It is important to correctly identify the idea to be disclosed in the event that the NDA must later be relied upon to determine and identify what information was confidential and disclosed, but the name is not to be so descriptive as to disclose the confidential information. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ |
| Name of NDA receiving party (RP): ____________________________________ |
| Address of RP: ____________________________________ |
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Description of prior contracts with RP including dates; persons corresponded with;subject matter disclosed, and any information pertinent to the negotiations of NDA with the RP ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ |
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