Testimonial Ad Release and Approval Document
Advertiser/Company Name:
Contact Person:
Contact Email:
Contact Phone:
Testimonial Details
Testimonial Provider Name:
Role/Relationship:
Testimonial Text:
Intended Use (Media, Duration, etc.):
Terms and Conditions
Approval and Release
I hereby give approval for the use of my testimonial as described above.
Testimonial Provider Signature:
Date:
Advertiser/Company Representative Signature:
Date: