SCHEDULE a consultation Send a Voice Message REQUEST AN ENGAGEMENT PROSPECTIVE CLIENT QUESTIONS Prospective Client Name * (e.g., the name of your company) Country The prospective client is a U.S. citizen or entity. All of the inventors are U.S. citizens. Identity of Instructing Person * May the same as the client. First Name Last Name Email Address of the Instructing Person * Phone Number of the Instructing Person * Country (###) ### #### Physical of Address of the Prospective Client * Address 1 Address 2 City State/Province Zip/Postal Code Country MATTER QUESTIONS Main Area of Interest or Concern for the Prospective Client * Patents Trademarks Copyrights Trade Secrets Due Diligence Litigation Licensing Other Potential Interested Parties Please list any party having a potential legal interest in any rights arising from my work with the prospective client, including any potential co-inventors, co-owners, etc. Potential Adverse Parties Please list any party likely to oppose the prospective client in a relevant administrative or litigation proceeding. Potential Competitors Please list any known competitors of the prospective client and identify any competing patents or trademarks. PATENT QUESTIONS (IF APPLICABLE) Generic Description of the Subject Matter Please provide a generic, high-level description of the subject matter, including key components, the desired benefits associated therewith, and how everything works to realize those benefits. Please include a working title of the subject matter if available. Related Patent Filings If the prospective client is seeking patent protection and has already filed a patent application directed to the subject matter anywhere in the world, please provide the application number, publication number, and/or patent number. Potential Public Disclosures Please indicate whether your subject matter has ever been disclosed to anyone who is not under a duty not to disclose the subject matter and/or sold to anyone in the world in the form of a commercial product or service. Terms and Conditions * I acknowledge that completing this form does not constitute formation of an attorney-client relationship with Matthew Leaper, which requires passing a conflict check and signing an engagement agreement. I agree that Matthew Leaper may use my information to complete the conflict check. I understand that Matthew Leaper is required to maintain the confidentiality of this inquiry and my information. Thank you!