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By Clicking “Submit”, I hereby grant to Doctorsoft Corporation and those acting pursuant to its authority, permission to publish my testimonial statement, name and/or photo in any advertising and promotion relating to Doctorsoft Corporation testimonial campaign and to reproduce and distribute copies of such advertisements or promotional materials.

In consideration for my consent, Doctorsoft Corporation agrees not to use my testimonial statement, name and/or photo except for the uses described in this form. Doctorsoft reserves the right to edit the content of any advertising or promotional copy. I also waive, discharge and release Doctorsoft, its affiliates and subsidiaries, and their respective officers, directors, employees, agents, or any person acting under their authority, from any and all rights, claims, causes of action or objections that I may have, or that may subsequently accrue to me, as to any use that may be made of my statement, name and/or photo in the advertising or promotion.

I agree and covenant that I will not file suit or authorize anyone else to file suit in connection with any claims that I may have against Doctorsoft Corporation or any of its affiliates or subsidiaries, or any of their respective directors, officers, employees, agents, successors and assigns arising out of any injury to myself as a result of Doctorsoft Corporation’s use of my testimonial statement, name and/or photo in the advertising or promotion.

I am over 18 years of age, I have read the foregoing consent form and release, and I warrant that I fully understand its content.