Client Testimonial Release Form in Advertising

Client Information

Client Name:	[Client Name]
Client Contact Email:
Address:
Phone Number:

Testimonial Details

Testimonial Date:	[March 22, 2050]
Product/Service Reviewed:
Description of Experience:

Release and Consent

I, [Your Client Name], hereby grant [Your Company Name], located at [Your Company Address], the right and permission to use and publish testimonials, including my words, image, and likeness, for advertising, promotion, and other commercial purposes. I grant [Your Company Name] the right to use my testimonial in any manner. I agree that I will make no monetary or other claim against [Your Company Name] for the use of the statement.

By signing below, I acknowledge and agree to the terms outlined in this document.

Client Signature:_______________

Date:

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