Tell Us Your Story Your Full Name (required) Your Email (required) Your Cell Phone# (required) Your Home Phone# Sold or Purchased Property Address I am a BuyerSeller Your short story By signing below, I/we do hereby give Charles Marine the right to use my story and/or photographs pertaining to the services rendered, for reproduction in any medium including but not limited to video, broadcast, print and electronic (e.g.: internet) for the purposes of advertising, trade, display, exhibition or editorial use. The undersigned warrants that no other party’s consent is required. The undersigned releases Heavens Realty and Charles Marine from all claims for libel, slander, invasion of privacy, infringement of copyright or right of publicity or any other claim. The undersigned is an adult and fully authorized to sign this Consent and Release. "Your Email, phone number, address will not be used. Only your name, buyer/seller, city and Your short story will be used in testimonial." Sign and Date Sign and Date 2 Check Box Below & Click Send Button