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Testimonials Form Farmingdale ny Glen Head ny Greenvale ny Hicksville ny Jericho ny Lattingtow

Testimonials Form

Terms

1. For value received, you represent and warrant that the Testimonial given is original and does not infringe upon any other person or entity.

2. You agree that Terref.com. shall own all rights to the Testimonial. You also agree that Terref.com has the right to use or not to use the Testimonial and to use, reproduce, re-use, alter, modify, edit or change the Testimonial and your name and likeness for any purpose as Terref.com sees fit.

3. You agree to indemnify and release Terref.com from any liabilities arising out of or relating to your providing said Testimonial.

I Agree With The Above Terms

First Name:

Last Name:

Address Street 1:

Address Street 2:

City:

Zip Code:

(5 digits)

State:

Daytime Phone:

Evening Phone:

Email:

Testimoial:

If Terref.com Posts Your Testimonial You will Get A Free Terref.com T-shirt or $10.00 Off Your Next Service Call

Optician #1

Yes Give Me the Free T-Shirt

Please Pick Your Shirt Size

	SM
	M
	L
	XL
	XXL

	Or Optician #2

	Yes Give Me A $10.00 Credit

Testimonials Form Farmingdale ny Glen Head ny Greenvale ny Hicksville ny Jericho ny Lattingtow

We Proudly Accepted