Testimonial and Case Study Collection Advertising Form

Testimonial and Case Study Collection Advertising Form

Please complete this form to share your experiences with [Product Name]. Your insights are valuable to us and will help enhance our services. Thank you for your feedback!

Respondent Information

Name:

[Name]

Job Title:

[Job Title]

Company Name: 

[Company Name]

Email:

[Your Email]

Phone Number:

[Your Number]

Testimonial or Case Study Details

Type of Submission:

  • Testimonial

  • Case Study

Description of Experience:

My experience with [Product Name] has significantly improved our operational efficiency. The design and advanced features simplified complex tasks and enhanced overall productivity.

Specific Benefits:

Consent and Permissions

Consent for Use:

Scope of Use: 

  • Online

  • Print

  • Social Media

  • Other: ________

Additional Comments and Feedback

Any additional comments about your experience:

Any suggestions for improving [Product Name]:

Verification of Information:

I confirm that the information provided is accurate and truthful to the best of my knowledge.

Signature:

[Name]

[Job Title]

[Month Day, Year]

Our team will review each submission for suitability, authenticity, and compliance with advertising standards. You will be notified via email or phone if your testimonial or case study is selected for use.

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