• Question Summary: Consultant Proprietary Information and Inventions Agreement Information Startup Date at which your agreement will take effect. ___________________________________________________________ Full legal name of your startup, including "Inc.," "Corp." or other applicable ending. ___________________________________________________________ State in which your startup was incorporated. ( ) Alabama ( ) Alaska ( ) Arizona ( ) Arkansas ( ) California ( ) Other (not all choices have been listed):__________________________ Provide the state whose laws will be used to govern your startup's operation. Governing law is generally either your startup's state of incorporation or the state in which your startup has its principal place of business. It may also be the state whose legal system will be used by your startup to resolve legal issues and disputes. ( ) Alabama ( ) Alaska ( ) Arizona ( ) Arkansas ( ) California ( ) Other (not all choices have been listed):__________________________ Information Consultant Contact What is the name of this consultant (can be an individual or entity)? ___________________________________________________________ Street address of this consultant's principal place of business (or residence as applicable). ___________________________________________________________ City of this consultant's principal place of business (or residence as applicable). ___________________________________________________________ State of this consultant's principal place of business (or residence as applicable). ( ) Alabama ( ) Alaska ( ) Arizona ( ) Arkansas ( ) California ( ) Other (not all choices have been listed):__________________________ The U.S. zip code of this consultant's principal place of business (or residence as applicable). ___________________________________________________________ What is the telephone number of this consultant? Write as you would like number to appear in document (ie 000-000-0000 or (000) 000-0000, etc.). If not applicable, leave blank. ___________________________________________________________ Fax number for this consultant. Write as you would like number to appear in document (ie 000-000-0000 or (000) 000-0000, etc.). If not applicable, leave blank. ___________________________________________________________ Email address for this consultant. ___________________________________________________________ Consultant Restrictions Details Do you want to include a non-solicitation of your startup's employees and consultants (by this consultant)? ( ) Yes ( ) No For how many months would you like the non-solicitation to be in effect? ( ) 6 ( ) 9 ( ) 12 ( ) 18 ( ) 24 ( ) Other (not all choices have been listed):__________________________