CONFIDENTIAL NON-DISCLOSURE AGREEMENT
Before sending me any information regarding your invention, please complete this form.

Inventor Information:

Name:____________________________________________________________________

Address:_________________________________________________________________

City:______________________State/Province:______Zip/Postal Code:_________

Telephone:   Home:________________________ Work:_________________________

E-mail:_____________________________

You have contacted Dr. Tipton L. Randall to discuss your invention/
product which you call:

_________________________________________________________________________
(invention/product name)

Confidentiality Agreement

Dr. Tipton L. Randall respects the confidentiality of all ideas,
concepts or inventions submitted and agrees not to disclose your
idea, concept or invention to any other unauthorized person or
entity.
   
Dr. Tipton L. Randall will exercise a high degree of care to
safeguard your idea, concept or invention from access or disclosure
to any unauthorized person or entity.

Dr. Tipton L. Randall will not use the information disclosed, except
for the express purpose for which it was submitted by the inventor.

Dr. Tipton L. Randall recommends that you not disclose your idea,
concept or invention to anyone on a non-confidential basis, without
the benefit of a Confidentiality Agreement, in order to avoid losing
any rights you may have to the idea, concept or invention.

Signing this agreement does not transfer any rights to your concept,
idea or invention.

Acknowledged by: 

Tipton L. Randall, Ph.D.________________________________ Date ___________

Inventor(s)_____________________________________________ Date ___________