BUSINESS INFORMATION GROUP
Division of Nanchas Company LLC
Mail: PO Box 5991, Sun City Center, FL 33571-5991
FedEx/UPS: 720 Masterpiece Drive, Sun City Center, FL 33573-6579
____________________________________________________________
Tel: 813- 634-7440 FAX: 813-634-5592 Cell: 813-785-5086
E-mail: cfeldschau@tampabay.rr.com
I understand that the following idea, creative material, invention, new product, or business matter is described to BUSINESS INFORMATION GROUP (a.k.a. the Company) for the purpose of exploring the services that the Company may recommend and/or perform for me and/or my organization:
_________________________________________________________________________
_________________________________________________________________________
(Note: Attach copies of manuscript, photos, detailed description, sketches, or sample, if applicable.)
The Company provides basic information, guideline advice, and technical help in the development of ideas, creative materials, inventions, new products, or business matters. Its integrity lies in maintaining the confidentiality of each idea, creative material, invention, new product, or business matter that is submitted, discussed, or considered.
The Company hereby agrees that the idea, creative material, invention, new product, or business matters you are disclosing, and which you believe to be your original creation, shall not be used, sold, or disclosed to any other person, organization, or corporation without your permission.
Consultant Signature: 
In consideration of the free review, analysis, and related response by the Company, the client hereby releases and forever discharges the Company and all their officers, directors, associates, and employees from any and all liability, claims, demands, obligations, expenses, actions, and causes of action whatsoever against the Company, arising out of or related in any way to any loss or damage sustained by the undersigned client, partnership, or corporation as a result of participation by the undersigned in this disclosure and any responses that may follow. I, the undersigned hereby accept these terms:
Client Signature ________________________Social Sec.No. ____________________
Print full name _____________________________________Date _______________
Address ____________________________ Apt/Suite # _______________________
City ______________________ State _____________ ZIP ____________________
Telephone No. (H)________________________ (W) __________________________
E-Mail__________________________________Cell__________________________
Note: Print out the above form, fill in as indicated and fax to 813-634-5592 or mail to address above. We will get back to you as soon as possible.
