Testimonial Request Form Template
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Testimonial Request Form
Please fill out the form below for your request.
Client Information
Name
Company Name
Phone number
Testimonial Details
Service/Product Used
Date of Service
Brief Description of Experience
Would you recommend our service/product to others?
Consent and Authorization
By submitting this testimonial, I grant [Your Company Name] permission to use the testimonial for promotional, marketing, and advertising purposes, including but not limited to online publications, print materials, and social media platforms. I acknowledge that the information I have provided is accurate, and I understand that my testimonial may be edited for clarity or brevity.
Date:
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