Fill and Sign the Agreement Inventor Form

Short Form Nondisclosure Agreement between Inventor and Person with whom Patent is Discussed Agreement made on the       day of       , 20       , between       of       , (Name of Inventor) (Street Address, City, County, State, Zip Code) referred to herein as Inventor, and       , a corporation (Name of Party to whom Invention will be disclosed) organized and existing under the laws of the state of       , with its principal office located at       , referred to herein as (Street Address, City, County, State, Zip Code) Corporation. For and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: The undersigned Corporation acknowledges that any information learned from Inventor or his associates involving       is proprietary and (Name of Invention and Patent Number) confidential, and the undersigned agrees to keep such information secret and neither use nor divulge it to others without written permission of Inventor . WITNESS our signature as of the day and date first above stated.       (Name of Corporation) (Signature of Officer)       (P rinted name & Office in Corporation) Short Form Nondisclosure Agreement Page 1 of 1