Confidential Submission

Three Ways to Submit Your New Product / Invention:

1. Complete the Confidential Form below and press submit.

2. Print a blank Confidential Form, complete the necessary
information and mail or fax to:

Ad-Gen                                                       Fax: 724-745-0228
375 Southpointe Blvd., Ste 110
Canonsburg, PA 15317

3. Request a Confidential Form be mailed to you for completion and return.

Confidential Online Form
  • All information strictly confidential.
  • Completing this form does not obligate you financially in any way

Upon submission of the Confidential Form you will receive:

  1. A free, no-obligation review of your new product / invention.
  2. A free, no-obligation set of recommendations with an estimate of any related costs.

First Name: 
Last Name: 
Street Address 1: 
Street Address 2: 
City: 
State: 
Zip: 
Country: 
Email Address: 
Phone: 
Mobile: 
Fax: 
Invention Name: 
Do You Have Inventory on Hand: 
Quantity: 
Brief Description of the Invention: 
Advantages of Your Invention: 
Fully Describe Patent Status: 
Is There Anyone Else Involved: