This is a PRODUCTION REQUEST form.
Your submission is confidential.

Send us a photo or a drawing of the invention if you like (even if it is a bench version) in an e-mail message including your name to: inventor@phoenixsciencefoundation.org

Inventor Name:
Address:
City:
State:
Zip Code:
Email Address:
Prototype Ready: Yes No Pending
Validation: Patented Prototype Concept Only Proof of Concept Model
Ownership: Sole Owner Work For Hire Contractor Partner
Type of Technology: Electrical Generator Fuel Savings Alternative Fuel Motor Water Recycling
Form of Energy: Solar Magnetic Wind Hydro Other
Emissions: CO2 CO Water None HC's
Application of Technology:
Your Estimated Cost for Development:
Date Ready for Review:

Brief Description of the Technology