Testimonial Submission

Authorization and Release Information

I understand my testimonial, as described in the form I am submitting,  (the “Testimonial”) and made on behalf of United Investors Group International (hereinafter called “The Group”) may be used in connection with publicizing and promoting The Group. I authorize The Group to use my name, picture, brief biographical & location info, as well the Testimonial as defined on this form.

I hereby irrevocably authorize The Group to copy, exhibit, publish or distribute the Testimonial for purposes of publicizing The Groups’ programs or for any other lawful purpose. These statements may be used in printed publications, multimedia presentations, on websites or in any other distribution media. I agree that I will make no monetary or other claim against The Group for the use of the statement.

In addition, I waive any right to inspect or approve the finished product, including written copy wherein my likeness or my testimonial appears. I understand that, in some cases, only parts of the full testimonial may be used and the content may be edited to correct spelling or grammatical errors.

I hereby hold harmless and release The Group from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

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