Testimonial Form

Testimonial Consent Form

Share your Harmonic Egg story with us!
Name*

First NameLast Name
Phone Number
Email*
example@example.com
Testimonial:*
Please indicate how you would like your name, age, designation etc. to appear with the testimonial above. NOTE: You may use your initials or remaining anonymous.*
Thank you so much for your testimonial regarding your Harmonic Egg Edmonton experience. Would you take a minute to share your experience on Google Reviews by copy and pasting your testimonial? Your review helps others discover the positive benefits of the Harmonic Egg.

[Click here to leave a Google Review]
Release Authorization:

I, the undersigned, hereby provide my testimonial regarding my Harmonic Egg Edmonton session. I grant permission to use my testimonial in various promotional materials, including but not limited to websites, social media, brochures, and other marketing channels. I hereby authorize Harmonic Egg Edmonton to use, reproduce, distribute, and display my testimonial in any media format without further notification or compensation.

Revocation of Consent:

I reserve the right to revoke this consent at any time by providing written notice to Harmonic Egg Edmonton at info@harmoniceggedmonton.com.
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty:

Testimonial Consent Form