What type of invention-idea do you have?*Invention TypeGeneral InventionMobile ApplicationForm FeeINVENTOR[S] INFORMATION:Inventor(s)*[List all Inventors & Co-Inventors]Primary Email* Mobile Phone #*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Preferred Time to Call* HH : MM AM PM IDEA/INVENTION DESCRIPTION:(be as DETAILED as possible)Title of Invention*[Title can always be a work in progress]Title of App*[Title can always be a work in progress]Approximately when did you first think of this invention?* When did you first think of this mobile app?* DESCRIBE THE PURPOSE OF THE IDEA/INVENTION BY EXPLAINING WHO WOULD USE IT AND HOW IT IS USED*DESCRIBE THE PROBLEM THAT THE INVENTION SOLVES AND EXPLAIN WHY IT IS NECESSARY*DESCRIBE WHAT THE IDEA/INVENTION LOOKS LIKE*WHAT MATERIAL(S) ARE REQUIRED?*EXPLAIN IN DETAIL HOW THE IDEA/INVENTION FUNCTIONS*WHAT DO YOU BELIEVE MAKES YOUR IDEA/INVENTION UNIQUE AND DIFFERENT THAN OTHER PRODUCTS*If possible, please provide a freehand sketch of your invention(The sketch does not have to be perfect or to scale)MOBILE APP IDEA DESCRIPTION:(be as DETAILED as possible)Describe the purpose of the mobile app by explaining who would use it and how it is used*Attach additional details, if neededYou can upload more than one file Drop files here or Describe the problem that the mobile app solves for the user and explain why your idea is necessary*Attach additional details, if neededYou can upload more than one file Drop files here or Explain what functions available on today's smart phone or tablet your mobile application may utilize?*(examples: camera, microphone, scanner, GPS, accelerometer, thumb reader, etc.)What options are available on the HOME SCREEN?*What are the navigation links available to a user who IS NOT logged into a user account?[if applicable]What are the navigation links available to a user who IS logged into a user account?[if applicable]Explain in detail how the mobile app functions*Attach additional details, if neededYou can upload more than one file Drop files here or What do you believe makes your mobile app unique and different from other apps currently on the market?*If possible, please provide a freehand sketch of your mobile app(The sketch does not have to be perfect or to scale)INVENTOR’S ATTESTATION OF NOVELTY* I clearly attest that I conceived the idea described above and I have no current knowledge of the described herein in existance. PRINCIPAL INVENTORLegal Name*Signature*INTEGRITY PATENT GROUP, PLC CONFIDENTIAL INVENTION DISCLOSURE In consideration of the disclosure of Confidential Information as defined herein by the undersigned inventor(s) to Integrity Patent Group (“Integrity”), it is hereby agreed that Integrity will hold and maintain the Confidential Information in STRICT CONFIDENCE and WILL NEVER disclose the Confidential Information to any third party and will use the Confidential Information only for purposes of analyzing and evaluating opportunities to sell or distribute products based on the Confidential Information. “Confidential Information” shall include all technical or business information relating to the products and/or inventions identified within and provided to Integrity. “Confidential Information” shall not include any information that is: (a) publicly known at the time of disclosure or subsequently becomes publicly known through no fault of Integrity; (b) already known to Integrity at the time it was disclosed or independently developed by Integrity without the benefit of the Confidential Information or (c) learned by Integrity through legitimate means from a third party who has the unrestricted right to disclose it. Integrity Patent Group PLC agrees to the terms of the confidentiality agreement stated herein /Jeffrey R. Herman/ CEO of Integrity Patent Group PLCCode Total $0.00 Payment* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.