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Testimonial Release Consent Form

I understand my Testimonial Information as outlined below and made on behalf of Coping Connection, LLC  may be used in connection with publicizing and promoting Coping Connection, LLC.  I authorize Coping Connection, LLC to use my name, brief biographical information, and the Testimonial Information as defined on this form. 

 

I hereby irrevocably authorize Coping Connection, LLC  to copy, exhibit, publish, distribute or redistribute the Testimonial Information for purposes of publicizing Coping Connection, LLC services or for any other lawful purpose. The Testimonial Information may be used in printed publications, multimedia presentations, social media, on websites or in any other distribution media. I agree that I will make no monetary or other claim against Coping Connection, LLC for the use of this Testimonial Information. 

 

In addition, I waive any right to inspect or approve the finished product, including written and electronic formats, wherein my testimonial appears. I hereby hold harmless and release Coping Connection, LLC 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.

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