Your implant idea - ChM sp. z o.o.

CONTACT DETAIL

Name & Surname *

Academic title *

License Nō

Current workplace

Address

City

Zip code

Country

Phone number *

E-mail *

Your preferred way to contact

e-mail
phone

Product description

Name of product / idea *

Intended use

TRAUMA

SPINE

CRANIOFACIAL

flexible implants
orthognathic
orthodontics
other

Trauma - other

Spine - other

Craniofacial - other

Type of product

Type of product - other

Patenst status

reported
patent
patent pending

Application Nō / Patent Nō

Advancement stage of the product

Description

Upload your file

Click or drag a file to this area to upload.

max 10 MB

Rodo *

I am aware that the completed information is treated as NON-CONFIDENTIAL. By submitting the above form I confirm that I have read and accepted * the following: *

Any suggestions, ideas, improvements, modifications, feedback, error identifications or other information related to any ChM products or services that you submit through this form may be used, disclosed, and/or exploited with any restriction, including to improve products and services of ChM sp. z o.o., and to develop, market, sell and provide other products and services.
ChM sp. z o.o. will be not obligated to treat any information provided in this manner as confidential, irrespectively the further statement of the Applicant.
By submitting your feedback through this form, you hereby irrevocably waive any intellectual property rights or other rights to the information submitted. Submitting the information you are solely responsible for ensuring that the information provided is not protected against confidential information, patent claims, copyrights, trademarks etc. belonging to third parties..
I am aware that ChM sp. z o.o. may currently develop or plan to develop the products or processes similar to those submitted through the above form and that ChM could receive the submitted information from other sources.
ChM sp. z o.o. does not make any statements, warranties, offers or has no commitments of any kind and does not promise to consider, to comply or to use otherwise any of the information included in the form.
ChM sp. z o.o. indicates, that the information submitted through the above form, feedback may not be treated as confidential, nor that the confidentiality and privacy of submitted information will be kept.
* in case of non-acceptance, please do not sent the form