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Client Testimonial Release Form

Practitioner: Simin Liang


This Release Form relates to my ‘Testimonial’ provided to Simin Liang By signing this Release Form, I hereby consent to the following terms:


  1. I agree that Simin Liang may use, reproduce, distribute and disclose the information in my Testimonial (and/or photographic/videographic likeness) andacknowledge that my Testimonial may be distributed to the public for purposes including but not limited to advertising, promotions and press coverage.

  2. I understand that I am not entitled to compensation for use of this Testimonial(and/or photographic/videographic likeness) nor input concerning its use.

  3. I waive any right to payment for the use of the Testimonial (and/or photographic/videographic likeness) save for use beyond the purpose set out in Paragraph 1 of this Release.

  4. I have the right to revoke this Release at any time by providing written notice of myrevocation.

  5. I understand and approve the disclosure of Testimonial information (and/or photographic/ videographic likeness) and any information contained herein in itspublic relation efforts.

  6. I waive the right of prior approval and hereby release Simin Liang from any claims for damages of any kind in the use of this Testimonial or information in this Testimonial (and/ or photographic/videographic likeness).

  7. This Release is subject to the governing law and jurisdiction of the Italian courts.


Data Protection Statement

To comply with the GDPR (General Data Protection Regulation)/applicable Data Protection Regulation, Simin Liang needs explicit permission to process, store and use anyof your personal data for marketing purposes.



8. I acknowledge that this Testimonial may contain my personal data and that it will be shared with the public for marketing and other purposes set out in Paragraph 1. I also understand that I am entitled to access this personal data held by Simin Liang and, where appropriate, make requests including for the correction or deletion of my personal data.


By signing this form, I consent to any personal data contained in the Testimonial being shared publicly by Simin Liang and stored in accordance with the GDPR/applicable Data Protection Regulation.

Thanks for submitting!

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