Customer Testimonial Release Form
Please provide your testimonial and grant us permission to use your content as described below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company or Organization (if applicable)
Role or Title
Your Testimonial
*
May we use your photo or video along with your testimonial?
*
Yes, you may use my photo or video
No, please do not use my photo or video
Where may we use your testimonial?
*
Website
Social Media
Marketing Materials
Presentations
Other
If you would like us to attribute your testimonial differently, please specify here
Signature
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Submit Testimonial
Submit Testimonial
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