Name *

First Name

Last Name

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you intend for the solution to be proprietary? *

In general, anything sent to SJRoy Labs is considered confidential. Conversations are private. Trademarked company logos and owned property will not be used for advertising purposes or shared with third parties. SJRoy Labs owns the solutions that are created and retains the right to patent and produce for other customers with their company logos or with the SJRoy Labs brand. If you intend to own the solution (make it proprietary) so that you may patent and produce for your own customers please check the option below.

NO, I DO NOT intend for the solution to be proprietary

YES, I intend for the solution to be proprietary

Statement of Understanding *

"I understand that unless I already have intelectual property related to the problem (IE patents) I do not own the problem I submit to SJRoy Labs. If my project is not accepted, SJROY Labs can still make solutions related to that problem. I waive any right to claim ownership of any future solutions made at SJRoy Labs on the basis that solution is related to a problem that was submitted."

I understand and waive any right to claim ownership of any future solutions made at SJRoy Labs on the basis that solution is related to a problem that was submitted.

Application *

Choose more than one option if needed

Parts do not require any special application considerations

Parts will undergo impacts

Parts will undergo bending, twisting, stretching, or compression

Parts will undergo high temperatures

Parts will be used mainly outdoors

Parts must be Chemical, fire, or ESD resistant (explain in the message space below)

Parts must be within a certain tolerance (List any tolerances in the message space below)