customer testimonial release

Media Appearance and Testimonial Release Form

Instructions for Use

• Fill in the bracketed information throughout the document to reflect the specific parties and the nature of the content being captured.
• Obtain a signature from the individual providing the testimonial, or an authorized signatory if the individual is providing it on behalf of a business entity.
• Retain a digital or physical copy of this signed release in your internal records for the duration of the usage of the testimonial.

Parties

This Release is entered into by and between: The Releasor: [Full Legal Name of Individual or Entity], located at [Full Address] ("Releasor"). The Company: [Company Name], located at [Company Address] ("Company").

Operative Terms

1. Grant of Rights: Releasor hereby grants to the Company, its successors, and assigns, the irrevocable, perpetual, worldwide, royalty-free right and license to use, publish, distribute, display, and edit the Releasor’s name, likeness, image, voice, and the testimonial provided (the "Content") in any and all media now known or hereafter developed, including but not limited to social media, websites, marketing materials, and internal presentations.

2. Nature of Content: The Content consists of: [ ] Written testimonial [ ] Video recording [ ] Audio recording [ ] Photographs [ ] Other: [__________]

3. Waiver of Review: Releasor acknowledges that they have no right of inspection or approval of the final materials in which the Content may be used. Releasor waives any right to royalties or other compensation arising from or related to the use of the Content.

4. Release and Indemnity: Releasor hereby releases and discharges the Company from any and all claims, demands, or causes of action that Releasor may now have or may hereafter have for libel, defamation, invasion of privacy, right of publicity, or any other claim arising out of or in connection with the use of the Content.

5. Representations: Releasor represents that they are at least 18 years of age and have the full right and authority to enter into this agreement. If the Releasor is signing on behalf of a company, they represent that they are an authorized signatory for said company.

6. Governing Law: This agreement shall be governed by the laws of the state of [State Name]. Any disputes arising under this agreement shall be resolved in the courts located in [County, State].

Signature and Acknowledgment

Signature: __________

Printed Name: [__________]

Title (if signing for an entity): [__________]

Date: [__________]

Legal Disclaimer: This document is a general framework and does not constitute formal legal advice. Laws governing publicity rights and intellectual property vary by jurisdiction. Please consult with qualified legal counsel to ensure this document meets your specific business needs and local regulatory requirements.