I __________________ the owner/manager agree and give my consent to Mr. /Ms.

________________
That you can put my information in your platform for constructive use.

________________________

Name of the enterprise _________________________________________________________________

Address______________________________________________________________________________
Services offered________________________________________________________________________
_____________________________________________________________________________________

Owner_______________________________________________________________________________
Special qualifications of owner ___________________________________________________________
Special qualifications of employees _______________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Agree to provide audio /video reviews of customers, employees and/or services offered. ____________
If yes, tentative date for collection of media. ________________________________________________

I __________________ the owner/manager agree and give my consent to Mr. /Ms.________________

That you can put my information in your platform for constructive use.

________________________

I __________________ the owner/manager agree and give my consent to Mr. /Ms.________________

That you can put my information in your platform for constructive use.

________________________

I __________________ the owner/manager agree and give my consent to Mr. /Ms.________________

That you can put my information in your platform for constructive use.

________________________