Testimonial Release Form

Authorization and Release Information

I understand that SELECTiON.COM® may use my statement above and images of me in connection with publicizing SELECTiON.COM®, its activities and its business to the general public. I also authorize SELECTiON.COM® to use my name and brief biographical information, as supplied on this form.

I hereby authorize SELECTiON.COM® to copy, exhibit, publish or distribute my statements and images for any lawful purpose. My statements and images may be used in printed publications, multimedia presentations or on websites. I agree that I will make no monetary or other claim against SELECTiON.COM® for its use of my statements and / or images.

I hereby waive any right to inspect or approve any finished product, including written copy, where my statements and / or images appear.

I hereby release and hold SELECTiON.COM® completely harmless from all liability in connection with any claim, demand, and / or cause of action that I, my heirs, executors, administrators, representatives or any other persons acting on my behalf, or on behalf of my estate, may have or claim to have by reason of this Authorization and Release.