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Submit a Testimonial

PBN Testimonial Consent Form

No one can say it better than our PBN members. Please take a few moments to share your PBN experience. Simply fill out this form and send it. We'd love to hear from you!

Full Name:

Company Name:

City:

State:

Chapter:

Phone:

Email:

Testimonial:

I give my full and complete permission, without compensation or limitation to PBN International to publish, display or obtain testimonials or other statements from me to use in print, electronic, or online advertising, marketing and promotional materials. This consent is granted for an undefined period. I understand and agree that my Testimonial may be used with or without identifying me and that PBN reserves the right to edit/proofread submitted testimonials if necessary, where length and subject content are relevant. I hereby grant that I am over eighteen years of age, and competent to contract in my own name. I have read this release and affidavit before submitting this testimonial and warrant that I fully understand the contents thereof.

By submitting I have read and agreed to all the terms above.

PBN Testimonial Consent Form

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