Submit your testimonial

Put in a few good words of your own. We're always happy to hear from you!


Full Name :
City :
State :
Country :
Email Address :
Submit Photo or Video :
Testimonial :

Authorization & Release:

In exchange for consideration received, I hereby give permission to LLC. and their affiliates, successors, and assigns (collectively, " LLC ") to use, publish and copyright my testimonial statements, name (first name and first initial of my last name), and city and state, in all forms and media, for advertising, trade, promotions and other marketing purposes. I agree that LLC has the right to attribute to me the testimonial statements given by me, which are an expression of my personal experience and belief.

In the event I provide LLC with pictures or video, they will be privately owned by me and not copyrighted or owned by any third party. LLC will only use my pictures in association with my testimonial and will attribute my pictures to me. LLC will retain my name and contact information for their records only, and will not disclose or sell my name or contact information to any other companies or individuals.

I agree that I have provided this submission to LLC and have received no payment or compensation for this submission.

I have read the Authorization & Release and give my consent for the use of my testimonial as indicated above.

I Agree to Authorization & Release