January 16, 2021  
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Sample Customer Testimonial Release Form

Getting customer testimonials is a great marketing initiative, but be sure you've got the legal angles covered. This sample customer testimonial release form should do the trick!

Before collecting customer testimonials, make sure you have a form for gathering testimonials that gives you the legal rights to use a customer testimonial.
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Here's a sample testimonial release form that you can use.

[Company Name]

Testimonial Release Form

Date __________________

Testimonial Statement and/or Inventory of Testimonial Materials:








Authorization and Release Information

I understand my testimonial as outlined above (the "Testimonial") and made on behalf of [Company Name] (hereinafter called "The Company") may be used in connection with publicizing and promoting The Company. I authorize The Company to use my name, brief biographical information, and the Testimonial as defined on this form.

I hereby irrevocably authorize The Company to copy, exhibit, publish or distribute the Testimonial for purposes of publicizing The Company's programs or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites or in any other distribution media. I agree that I will make no monetary or other claim against The Company for the use of the statement.

In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my likeness or my testimonial appears.

I hereby hold harmless and release The Company from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Signature: ______________________________________________________________

I have read the authorization and release information and give my consent for the use as indicated above.

Printed Name:  _________________________________________

Signature:         _________________________________________

Email:               _________________________________________

Address:           _________________________________________

City, State, Zip: ________________________________________

Telephone:         _________________________________________

Date:                 _________________________________________

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Conversation Board

Have you used a testimonial release form before? Is there anything that you think needs to be added to this marketing release form? Thanks for your input.

gb 5/19/2009

Thanks for the thoroughness of this document. It was exactly what I was looking to find. Great job!

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