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Commercial Testimonial Consent and Release

I hereby irrevocably grant Diversified Enterprises, Inc. dba Back to New Heating and Cooling ("DEI" or "BTN"), its successors, assigns, agents, and licensees (collectively the "Licensees"), the right to yse my name, image, and any likeness of me, including but not limited to photographs, recordings, or written statements (collectively "Licensed Material"), in any media and for all advertising, publicity, promotional and other trade purposes, in connection with marketing the products and services of DEI/BTN.
I understand and agree that:
Name:    Email:
Address:
City:      State:     Zip:
Phone:  

By checking this box you indicate that you agree with the above statement.

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