WPCj  $Myw?Qaٮ1)8PFXwrM]t#x +;N/ܘFyPV1cט)$ 4OOÕ+8ӷ#(G CJ( 9D'4ƓF3x3:\8 X,Ix02[riXg^ 94=P:!Y= huL;a2,=,z޲GdGiJm2/oQ27jnk7~wM > &g:&&kNVe [,4Wz*a#Q̻*18&2% ы:Y(S;U<}Vھ@Ι?0f~.| =6woC&K3sft_+,]ϲ#E9qAXsH8P@YnU2? .w.pHB"SYU:nX6 %U: 04#(N^ w 4 ! m###U0:<6X9`("Courier 10cpi<6X9`("Courier 10cpiXx6X@8;X@<6X9`("Courier 12cpid6X@8;@X<6X9`("Courier 12cpi#|d ( T$  HP LaserJet 1200 Series PCL,,,,0!dz4L ͅ4ertyBaraU<\( 9Z+Courier T!   _XXXX @ &NEWMEXICOSTATEUNIVERSITY X @'InventionDisclosureForm  @,I.Description @ ΏXXΏΏPleaseprovideatitleforyourinventionandabriefdescription.Inventionsincludenew x processes,products,apparatus,compositionsofmatter,livingorganismsORimprovements v to(ornewusesfor)thingsthatalreadyexist.Useadditionalsheetsandattach    descriptivematerialstoexpandanswerstoquestions.(Sketches,drawings,photos,reports  j  andmanuscriptswillbehelpful.) h   A.InventionTitle________________________________________________________________________  \  B.Description____________________________________________________________________________   __________________________________________________________________________________________ L  __________________________________________________________________________________________ @  __________________________________________________________________________________________  C.Whataretheimmediateand/orfutureapplicationsoftheinvention? 0 __________________________________________________________________________________________ |$ __________________________________________________________________________________________ p D.Whyistheinventionbettermoreadvantageousthanpresenttechnology?Whatareits  novelandunusualfeatures?Whatproblemsdoesitsolve? b __________________________________________________________________________________________   __________________________________________________________________________________________ R" __________________________________________________________________________________________ F$  E.Isworkontheinventioncontinuing?Aretherelimitationstobeovercomeorother 8' taskstobedonepriortopracticalapplication?Arethereanytestdata? 6( __________________________________________________________________________________________ ** __________________________________________________________________________________________ v, ______________________________________________________________________________ ____________ !.  F.Haveproducts,apparatusorcompositions,etc.actuallybeenmadeandtested? f" 0 __________________________________________________________________________________________ #Z!2 G.Companiespotentiallyinterestedintheinvention? $"4 __________________________________________________________________________________________ J __________________________________________________________________________________________ '>%8 H.EstimatedannualU.S.andforeignmarketfortheinvention?___________________________ (&: __________________________________________________________________________________________ .*'<   *|(= @ II.Publications,PublicUseandSale X Note:validpatentprotectiondependsonaccurateanswerstothefollowingitems. L A.Hasinventionbeendisclosedinanabstract,paper,talk,newsstoryorathesis?  Typeofdisclosure______________________________________________DisclosureDate___________ < Ѐ(Pleaseencloseacopy)  B.Isapublicationorotherdisclosureplannedinthenextsixmonths? .  Typeofdisclosure______________________________________________DisclosureDate___________ z "  Ѐ(Enclosedrafts,abstracts,preprints)    C.Hastherebeenanypublicuseorsaleofproductsembodyingtheinvention? l   Describe,givingdates____________________________________________________________________  `  D.Areyouawareofrelateddevelopmentsbyothers?If"yes,"pleasegivecitations.   Copiesofanyrelevantpatentsorpublicationswouldbeappreciated. R  __________________________________________________________________________________________    @+ III.Sponsorship  Iftheresearchthatledtotheinventionwassponsored,pleasefillinthedetailsand 4 attachacopyofthecontractoragreementifpossible.  A.Governmentagency_____________________________contract/grantno.______________________ & B.Nameofindustry,university,foundationorothersponsor: r __________________________________________________________________________________________ f! C.Hastheinventionbeendisclosedtoindustryrepresentatives?If"yes,"pleaseprovide  # details,includingthenamesofcompaniesandtheirrepresentatives. X$ __________________________________________________________________________________________ & @)IV.ForOurRecords H( A.Namesandtitlesofinventors(pleaseprint;signwhereindicated) <* 1.______________________________Signature____________________________Date________________ , 2.______________________________Signature____________________________Date________________ , . 3.______________________________Signature____________________________Date________________ x! 0 B.Contactformoredata________________________________________Tel(___)__________________ "l 2 C.Mailingaddressforinventor(s)________________________________________________________ $!4 __________________________________________________________________________________________ \%#6 D.Nameandtitleofinstitutionalrepresentative(pleasesignwhereindicated) &P$8 _________________________________Signature____________________________Date________________ '%: Department______________________________________________________Tel(___)__________________ @)&< Mailingaddress________________ΏΏ___________________________________________________________ *4(>   IntellectualPropertyandTechnologyTransferOffice ~,&*A _MSC_Ԁ3IPO,Box30001 $-*B LasCruces,NM88003#ΏΏ#  -r+C  (505)64641850 @` 0 @ _FAX_Ԁ(505)6465628