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Full Name
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Email Address
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Zip/Postcode
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Product Name
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Partner Type
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Opportunity Type
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Product Patent Status
If your product has a patent number, patent application number or Trademark, please provide all the information below
New Concept or Product Idea (Please briefly describe your ideas - limit to 1,000 words)
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Are you the sole owner of your concept/product idea?
Yes
No
If you are NOT the sole owner of your concept/product idea, please provide the names and contact information for the other parties
Additional Comments
Submitting your product /new idea, you are agreeing to the Non-Confidentiality Acknowledgement below

I agree to the collection and processing of my personal information in line with the Privacy Statement.

I acknowledge that I am authorized to submit the information to Creche Innovations and that my disclosure will not breach in any way any confidentiality or other obligation to which I am subject. I acknowledge that I am not a minor (under 18 years of age) and I am legally able to act as a representative of the submitted opportunity.

I acknowledge that the disclosure to Creche Innovations is being made on a NON-CONFIDENTIAL basis (i.e., I am only submitting non-confidential information) and that no confidentiality obligations whatsoever are created or implied by submitting this opportunity to Creche Innovations.

I acknowledge that I am not relying upon Creche Innovations in any way whatsoever for legal advice, including (but not limited to) advice concerning the protection of my submission. I acknowledge that no relationship or other obligation between myself and Creche Innovations is being created by the submission of this opportunity.

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