Creative & Media
Testimonial/Case Study Consent and Release
Testimonial and case study consent and release for marketing use of name, likeness, and statements. 1 signer (subject).
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# Testimonial/Case Study Consent and Release **Date:** ___________ This Testimonial/Case Study Consent and Release ("Release") is submitted by: **Subject:** ___________ ("Subject") **Company/Organization (if applicable):** ___________ **Requesting Company:** ___________ ("Company") ## 1. Purpose The Company wishes to use the Subject's testimonial, feedback, experience, and/or case study results for marketing, promotional, and educational purposes. This Release grants the Company permission to do so under the terms set forth below. ## 2. Content Description **Type of Content:** ___________ **Description of Testimonial/Case Study:** ___________ **Product/Service Referenced:** ___________ ## 3. Grant of Rights The Subject grants the Company the following rights: **Scope of Use:** ___________ **Duration of Use:** ___________ **Geographic Scope:** ___________ ## 4. Permitted Use of Name and Likeness The Subject grants the Company permission to use the following: **Name:** ___________
Fields (20)
effective date
date · required
subject name
text · required
subject company
text
company name
text · required
content type
select · required
content description
textarea · required
product service
text · required
scope
select · required
use duration
select · required
geographic scope
select · required
use name
select · required
use photo
select · required
use company logo
select · required
approval rights
select · required
approval deadline
select · required
compensation
select · required
compensation details
text
revocation period
select · required
governing state
select · required
subject signer name
text · required
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