Awareness Impact & Motivation Specialist
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Testimony

Leave a testimony of how AIMS' has enhanced your awareness or had an Impact on your life or your company. You can either download or completing the form below. If you download the testimonial release form, you can email it to [email protected] or mail it to AIMS, P.O. Box 253, Crystal Lake, IL 60039
testimonial_release_form.docx
File Size: 45 kb
File Type: docx
Download File

You can also complete the form online by using the form below:

    Testimonial Release Form

    Authorization and Release Information

    I understand my testimonial as outlined above (the "Testimonial") and made on behalf of Awareness, Impact and Motivation Specialist (hereinafter called "The Company") may be used in connection with publicizing and promoting The Company. I authorize The Company to use my name, brief biographical information, and the Testimonial as defined on this form.

    I, hereby, irrevocably authorize The Company to copy, exhibit, publish and/or distribute the Testimonial for purposes of publicizing The Company's programs or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites or in any other distribution media. I agree that I will make no monetary or other claim against The Company for the use of the statement.

    In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my likeness or my testimonial appears.

    I hereby hold harmless and release The Company 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.

    Please type your name and today's as evidence of your signature
    I have read the authorization and release information and give my consent for the use as indicated above. 

Submit
Permanently impacting the lives of women and girls.
AIMS - P.O. Box 253 - Crystal Lake, IL 60039 - (708) 466-3532
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