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* 1. Please enter your testimonial below:

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* 2. Your Company Name

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* 3. Your Name

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* 4. Your Email

RELEASE FORM
PERMISSION TO USE PERSONAL IMAGE/COMPANY LOGO/TESTIMONIAL 

By clicking “agree”, below, I hereby give The Ocala/Marion County Chamber & Economic Partnership (herein,“CEP”), its employees, designees, agents, independent contractors, legal representatives, successors and assignees, and all persons or departments for whom or through whom it is acting, the absolute right and unrestricted permission to use my name, personal image, written or videotaped testimonial, company logo, and biographical data in part, in color or otherwise, through any form of media (print, digital, electronic,broadcast or otherwise) for advertising, recruitment,
marketing, fund raising, publicity, archival or any other lawful purpose.

I waive any right that I may have to inspect and approve the finished product that maybe used or to which it may be applied now and/or in the future, whether that use is known to me or those at my company or unknown, and I waive any right to royalties or other
compensation arising from or related to the use of the image or product. I release and agree to hold harmless CEP, its Board of Directors, officers,
employees, and/or others for whom or by whom CEP is acting, of and from any liability by virtue of taking of the pictures/video or using the testimonial/biographical data, in any processing tending towards the completion of the finished product, and/or any use whatsoever of such pictures or products.

I certify that this release is accepted voluntarily, under no duress, and without expectation of compensation in any form now or in the future. I certify that clicking “agree” I am hereby providing my digital signature, which shall stand in equal force and effect as a written signature.

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* 5. I have read and agree to the release form above.

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