Client Intake Form

Thank you for choosing my company, Pinnacle Product Innovation, Inc. for your product innovation needs. This Client Intake Form is intended for you to share the background and status of your new product. This form will also allow us to better determine how my company can help you move your new product opportunity into a marketplace reality. Would you please review the entire form before filling it out, and then fill it out as completely as you can.

Please email any supporting documents, such as patents, prototype photographs, etc. to eric@ericpaulrose.com

Thank you, Eric P. Rose, NPDP, MBA

"Please describe in non-confidential terms the "generic product category" of your invention to be disclosed. An example may be, "kitchen mixing hand tool" or "wrench with integrated light" or similar."

INVENTION BACKGROUND

MARKETABILITY

TECHNICAL FEASIBILITY

PROTECTABILITY

FUNDING

EXPECTATIONS

Please email any supporting documents, such as patents, prototype photographs, etc. to eric@ericpaulrose.com

Note: You agree that the submission of the information in this form is done so with the understanding that there is already in place a Non-Disclosure Agreement (NDA) between yourself and Pinnacle Product Innovation or that no such NDA is required for the information submitted here. The submission of this form does not serve as a confidentiality agreement.