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Idea Submittal Form

For Use Where Compensation Is Expected:

To: Submitted Ideas to CleanAir

I WANT TO SUBMIT MY IDEA AND EXPECT COMPENSATION.

By completing and submitting this form you confirm to us that your submission is freely offered and we will be able to go forward with consideration of your idea.

Submitters Contact Info (All fields are required)


Title of Idea
Full Name
Street Address
City, State & Zip
Telephone
E-mail
Patent No. (if available)
Submit this idea to the following CleanAir component:
Description of New Idea

 

I submit my idea with expectation of compensation.

 

Updated: February 9, 2006