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Idea Submission Agreement Form         

I am sending to Worthington Cylinders an idea I have for an existing or future Worthington Cylinders product or product improvement. Please note that questions requiring a response are marked with an asterisk (*).

 Contact Information 
Your Name: *
Company Name (if applicable):
Address:  *
City:  *
State: *
Zip: *
Telephone:
Fax:
E-mail: *

 Agreement 

I understand and agree with Worthington Cylinders as follows:

  1. Sending my idea to Worthington Cylinders is completely voluntary.  Worthington Cylinders did not ask me to send in my idea.
  2. No confidential relationship exists between me and Worthington Cylinders, nor is one created by my sending in my idea or otherwise and, if, despite this acknowledgement, one is found to have existed, I waive such relationship in its entirety.
  3. Worthington Cylinders has agreed to respect my patent rights as they may exist or arise under the patent statutes.  Otherwise, I have no expectation that Worthington Cylinders will keep my idea confidential or pay me for any idea, even if Worthington Cylinders uses my idea or discloses it to someone else who uses it.
  4. To the best of my knowledge, I am the creator of the idea (No one gave the idea to me), I am legally permitted to send my idea to Worthington Cylinders, and no one’s rights would prevent Worthington Cylinders or me from using the idea.
  5. Worthington Cylinders does not have to return anything I send it.
  6. I have never been employed by Worthington Cylinders or any company related to it.
  7. I will not use Worthington Cylinders’ name or trade names, nor will I give anyone the impression that Worthington Cylinders has agreed to or may use my idea.
  8. I neither have nor will have any other agreements or understandings with Worthington Cylinders. This agreement can be modified only by a separate written agreement signed by Worthington.

I HAVE READ AND UNDERSTAND THE AGREEMENT AND KNOW THAT IT MAY BE BENEFICIAL FOR ME TO CONSULT AN ATTORNEY BEFORE CHECKING THE BOX BELOW AND SENDING MY IDEA TO WORTHINGTON CYLINDERS. NOTHING WRITTEN BELOW IN THE IDEA DESCRIPTION WILL CONSTITUTE A CHANGE TO THIS AGREEMENT.

* Please check this box to indicate your agreement.


 Idea Description 

Do you have additional materials or documentation to submit with your idea?     Yes          No
(If so, we will contact you to determine the best communication method.)

Please describe your idea in the following area.


  

 

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