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The fields Company, Position and website are required only for company testimonials.

Company
Title
Name	*
Position
No./Street
City/State/ZIP

Phone
Mobile
Fax

Email	*
Website

	*

	I authorize Elegant Cleaning Service (Elegant Products & Services) to use, publish, edit and copyright written materials containing all or any part of my testimonial regarding my experience with Elegant Cleaning Service, including my name and my city and state ("Testimonial") for commercial purposes. I waive any right to inspect and/or approve the finished product or the advertising copy that may be used in connection with my Testimonial. I release Elegant Cleaning Service from any claims that may arise regarding the use of my Testimonial and declare that the information provided in my Testimonial is accurate and complete. I understand that I will receive no compensation for my Testimonial. I have read and understood this Agreement and I certify that I am of full age (18) and am possessed of full legal capacity to execute the foregoing authorization. *

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