Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
RELEASE AND PERMISSION TO USE TESTIMONIAL AND PHOTOGRAPHS
Date: {{date}}
Grant of Permission
I, {{full_name}} (hereinafter “the Testifier”), residing at {{address}}, hereby grant to {{company_name}} (hereinafter “the Company”), its agents, employees, licensees, and successors, the irrevocable and unrestricted right to use my testimonial, statements, quotes, and/or photographs taken of me on {{photo_date}} at {{photo_location}}.
Purpose of Use
I understand and agree that my testimonial and photographs may be used by the Company for promotional, marketing, advertising, and other commercial purposes, including but not limited to, use in brochures, websites, social media, advertisements, press releases, and any other media now known or hereafter developed. I understand that the use of my testimonial and photographs will be to promote the Company’s products and/or services.
Waiver of Rights and Compensation
I waive any right to inspect or approve the finished product, including written copy, wherein my likeness or testimonial appears. I acknowledge that I will receive no financial compensation for the use of my testimonial or photographs, and I waive any claim to royalties or other remuneration arising or resulting from such use. I release and discharge the Company from any and all claims, demands, and causes of action which I may now or hereafter have for libel, defamation, invasion of privacy, right of publicity, or any other claim arising out of or in connection with the use of my testimonial and/or photographs.
Representation of Testimonial Accuracy
I hereby affirm that the testimonial provided is true and accurate, and reflects my honest opinion and experience with the Company’s products or services. I further represent that I have not been induced or coerced into providing this testimonial.
Duration of Permission
This permission shall be valid indefinitely unless revoked by me in writing to the Company. Such revocation will only apply to future uses of the testimonial and photographs and will not require the Company to remove materials already in circulation or published.
Governing Law
This agreement shall be governed by and construed in accordance with the laws of {{country}}.
Agreement and Signature
I have read this Release and Permission, fully understand its terms, and I sign it voluntarily. I am over the age of eighteen (18) years.
_____________________________
Signature: {{testifier_signature}}
Printed Name: {{full_name}}
Date: {{date}}
_____________________________
Company Representative Signature: {{company_representative_signature}}
Printed Name: {{company_representative_name}}
Title: {{company_representative_title}}
Date: {{date}}
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