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Testimonial Consent & Release

Version 1.0

Testimonial Consent & Release

This confirms that [CLIENT REPRESENTATIVE NAME], [TITLE] at [CLIENT COMPANY] ("Reviewer"), consents to the following being used by Dostal Technology LLC ("Consultant") in its marketing materials — website, portfolio, proposals, social media, and sales presentations:

Quote

"[TESTIMONIAL TEXT — the exact quote being published]"

Attribution (select one)

  • Full name, title, and company: [NAME], [TITLE] at [COMPANY]
  • First name and company only: [FIRST NAME] at [COMPANY]
  • Title and company, no name: [TITLE] at [COMPANY]
  • Anonymous: no identifying detail

Photo / Headshot

  • Reviewer's photo/headshot may be used alongside the quote
  • No photo — text only

Review

Reviewer has read the exact quote text above as it will appear in Consultant's marketing materials and confirms it accurately reflects their statement.

Revocation

Reviewer may withdraw this consent at any time by written notice to Consultant. Withdrawal applies prospectively — Consultant will remove the testimonial from actively-controlled channels (e.g., the Consultant website) within [NUMBER] business days, but does not require recall of materials already distributed before the withdrawal date.

No Compensation

No fee or other compensation is owed to either party in connection with this consent, unless separately agreed in writing.


Reviewer

Signature: _______________________ Name: [NAME] Date: [DATE]

Consultant — Dostal Technology LLC

Signature: _______________________ Name: [NAME] Date: [DATE]