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Ideas



Step 1 of 6 - Terms & Conditions
Please carefully review and accept the terms and conditions before continuing.
Terms and Conditions 

My idea is not submitted to 3a Medical Group Corporation in confidence and 3a Medical Group n is under no obligation to receive or maintain my idea in confidence. 

All rights that I may possess in my idea are limited to such rights as I may now have or in the future obtain under United States Letters Patent or a written agreement subsequently entered into with 3a Medical Group

All other claims of any nature whatsoever arising out of any disclosure of my idea to 3a Medical Group are hereby waived. 

3a Medical Group shall obtain no rights of any kind in my idea by reason of this agreement. 

By accepting this Waiver of Confidentiality, I represent that I am at least eighteen years of age. 

This Waiver of Confidentiality supersedes any previous agreements, written or oral, and any prior negotiations between me and 3a Medical Group
Terms & Conditions Agreement




Step 2 of 6 - Personal Information
Please enter the following personal information. All fields highlighted in yellow are required.
Contact Name
Title:
First Name:
Middle Initial:
Last Name:
Company Information
Occupation:
Company and/or Name of Practice:
Email Address

All submitted details will be sent to this email address

Business Address
Street Address:
Country:
City:

State/Province:
Postal Code:
Contact Phone Numbers
Work Phone:
Home Phone:
Mobile Phone:
Step 3 of 6 - My Idea
Please enter details regarding your idea below. All fields highlighted in yellow are required.
Have you previously submitted this idea to 3a Medical Group ?
Has this idea been previously submitted to another company?
If Yes, please list all companies. (One company per line) 
To which 3a meidical division should this idea be applied?

(At least one must be checked.)

Other/Unknown Division:
Idea Details
Idea Title:
Please enter a brief overview of your idea here. (20 words or less) 
Please enter a complete description of your idea here.


Step 4 of 6 - Intellectual Property Status
If your idea is protected by patent, trademark, or copyright, please provide detailed inforation below. All fields highlighted in yellow are required.
Has a Patent Application been filed?
Patent Application Details
Application Number:
Country Applied In:
Has a Patent been granted for this idea?
Granted Patent Details
Granted Patent Number(s): 
Country Granted In:
Other Forms of Protection
Trademark Registration Number:

Copyright Registration Number:




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Step 5 of 6 - Review
Please review all of your information before submitting your idea to 3a Medical group. Click Submit My Idea to Midmark to complete the process.
Personal Information 
Title:
.
First Name:

Middle Name:
Last Name:

Occupation:

Company and/or Name of Practice:

Email Address:

Street Address:

Country:

City:

State/Providance:

Postal Code:
Work Phone:

Home Phone:
Mobile Phone:

My Idea  
Have you previously submitted this idea to 3a Medical Group?

Has this idea been previously submitted to another company?

If Yes, please list all companies.
To which 3a MG division should this idea be applied?

Other/Unknown Division:
Idea Title:

Please enter a brief overview of your idea here:

Please enter a complete description of your idea here:
l
Intellectual Property Status  
Has a Patent Application been filed?

Application Number:
Country Applied In:
Has a Patent been granted for this idea?
Granted Patent Number(s):
Country Granted In:
Trademark?

Trademark Registration Number:
Copyright?

Copyright Registration Number:
Step 6 of 6 - Confirmation
Congratulations!
Your idea has been successfully submitted to 3a MG and is currently being processed. You will be contacted within the next ten business days with further information regarding your idea. 

A review of the information that you‘ve provided is listed below. Please print and retain a copy of this information for your records. A copy of your submission will also be sent to office@3amedicalgroup.com.
Confirmation
Confirmation Number:

Personal Information
Title:
.
First Name:

Last Name:

Middle Name:
Occupation:

Company and/or Name of Practice:

Email Address:

Street Address:


Country:

City:

State/Providance:

Postal Code:

Work Phone:

Home Phone:
Mobile Phone:

My Idea
Have you previously submitted this idea to 3a MG ?

Has this idea been previously submitted to another company?

If Yes, please list all companies.
To which 3a MG division should this idea be applied?

Other/Unknown Division:
Idea Title:

Please enter a brief overview of your idea here:

Please enter a complete description of your idea here:
l
Intellectual Property Status
Has a Patent Application been filed?

Application Number:
Country Applied In:
Has a Patent been granted for this idea?
Granted Patent Number(s):
Country Granted In:
Trademark?

Trademark Registration Number:
Copyright?

Copyright Registration Number:
Terms & Conditions

My idea is not submitted to 3a Medical group Corporation in confidence and 3a MG Corporation is under no obligation to receive or maintain my idea in confidence. 

All rights that I may possess in my idea are limited to such rights as I may now have or in the future obtain under United States Letters Patent or a written agreement subsequently entered into with 3a MG.
All other claims of any nature whatsoever arising out of any disclosure of my idea to 3a MG are hereby waived. 

3a MG shall obtain no rights of any kind in my idea by reason of this agreement. 

By accepting this Waiver of Confidentiality, I represent that I am at least eighteen years of age. 

This Waiver of Confidentiality supersedes any previous agreements, written or oral, and any prior negotiations between me and 3a MG.
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