This is to certify that I have chosen to give my testimonial as a client for The Law Office of Julio E Portilla, P.C. I understand that by submitting my testimonial it does not guarantee the use of my testimony. I understand that by submitting my testimonial I give The Law of Julio E Portilla, P.C., the right to use my testimonial for reproduction in any medium including but not limited to; websites, videos, broadcasts, prints, and electronic means for purposes of advertising, trade, display, exhibition or editorial use. The undersigned releases Mr. Portilla from all claims for libel, slander, invasion of privacy, infringement of copyright or right of publicity or any other claim. Mr. Portilla agrees to use only initials, first name/city or a pseudonym to reference the client’s testimonial.
I hereby agree to have my name appear as is in any posting or publication: (please choose one)