Testimonial Authorization Form

Client Information

Testimonial

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Authorization

I hereby authorize Raisa Romaelle Esquire, Resolution Room Mediation LLC and Let's Settle This Mediation LLC and their companies, subsidiaries, agents and assigns (hereafter "Companies") to use my testimonial in written or audio form. I understand that my testimonial may be used in various formats, including but not limited to online materials, printed materials, social media, advertising, and promotional content. I understand that my testimonial may be shortened or edited for clarity, including corrections to grammar, punctuation, or spelling, while still maintaining the original intent of my message. I consent to the disclosure of my first name and the first initial of my last name, as well as the type of case (divorce, paternity, or relocation) in connection with my testimonial. I also authorize the use of a representative stock image to accompany my testimonial. I understand that providing this testimonial is entirely voluntary and that there is no obligation to do so. I will not receive any compensation for its use. I grant the Companies the right to use this testimonial in perpetuity, for both current and future use, without any time limitation.

Acknowledgement

By signing below, I acknowledge that I have read and understood the terms of this release form. I agree to the use of my testimonial as described above.

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