Special Order Form

Order Licensing Services

by check or money order


Name: _______________________________________________________

Company: ____________________________________________________ (optional)

Address: _____________________________________________________

City: ___________________________ State: __________ Zip: ________

Phone: (______) ____________________

Email: _____________________________

Licensing Step 1

We will review your invention, how it meets a need, market research you may have done, patents, and other important aspects. By the end of the one-hour meeting, I will give you suggestions and prepare you for the next Licensing steps to take.

The meeting is $150. If you own my Invention Success Kit, the one hour meeting is only $95.

Make payable to:

Matthew Yubas

Print this Order Form
and Mail to:

3124 75th Street
Lubbock, TX 79423


After your check or money order is received, I'll contact you to set a date and time
for our meeting.