REGISTRATION FORM MC-BD-FO-1192v10 Information about the participant(s): Name(s) Project Name Zip Address City Code Day and time Phone of Number Preference Number of E-mail Participants Status of the project: Idea Beta-testing Provisional Patent Collected Feedback Non-Provisional Patent Molds Virtual Design Production Prototype Acquired Customers Alpha-testing Distribution Location: 601 N Main St, McAllen 78501 Second Floor
REGISTRATION FORM MC-BD-FO-1192v10 Information about the participant(s): Name(s) Project Name Address City Zip Code Phone Number Day and time of Preference E-mail Number of Participants Status of the project: Idea Provisional Patent Non-Provisional Patent Virtual Design Prototype Alpha-testing Beta-testing Collected Feedback Molds Production Acquired Customers Distribution Location: 601 N Main St, McAllen 78501 Second Floor
Application-IdeaPlace-MC-BD-FO-1192V10.docx