Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Today's Date *Your Name *FirstLastEmail *1. Please rate your overall feeling about the firm and your tax attorney?Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 52. Was there something we could have done better to improve your experience? *3. Describe the one or two benefits you have received from the firm that you value the most. Please be specific, and tell how these benefits improved your life. *Would you be interested in creating a 5-minute video testimonial for us? *YesNoMaybeTestimonial Release Authorization (please read carefully) *I have read, understand, and approve the release authorization agreement below, in its entirety.The party listed above will refer to themselves throughout this document as "the Releasor," "I," and through the use of other first-person pronouns. I, the Releasor, hereby and irrevocably consent to the use, publication, distribution, broadcasting, reproduction, editing, recording, posting, copyrighting, licensing, digitization, and/or re-release of the Released Testimonial, as defined below, by The Law Office of Jason Carr, PLLC, as well as any employees, affiliates, associates, representatives, or agents for any legal reason or purpose, including but not limited to social media, commercial products, education, course materials, video footage, sales, marketing, or any other medium in any form that has been or will be invented: The Law Office of Jason Carr, PLLC, having a principal address at 2626 Cole Avenue, Ste. 300, Dallas, TX 75204. In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my testimonial appears. I hereby hold harmless and release The Law Office of Jason Carr, PLLC from all claims, demands and causes of action, which may include reasonable attorneys' fees, arising from or in connection with the use of the Released Testimonial 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. I give consent to the use of this Released Testimonial while knowing and understanding that my name, comments, and other identifying factors may be revealed to the general public. However, The Law Office of Jason Carr, PLLC may not make known to any party in any medium my known or previously known location, email or physical address, or any other contact details, such as my phone number. I represent and warrant to The Law Office of Jason Carr, PLLC that I have the power and authority to authorize this Testimonial Release and that the Released Testimonial will not violate the intellectual property rights of any third party. This Testimonial Release represents the entire understanding between the parties listed above and supersedes all previous representations, understandings or agreement. No waiver, modification or cancellation of any term or condition of this Testimonial Release shall be effective unless signed in writing by both parties. This Testimonial Release shall be governed by the laws of Texas. If any part of this Testimonial Release is found to be invalid, the remainder of the Testimonial Release shall remain in full force and effect to the maximum extent permitted by law. I am over eighteen years of age and have full legal rights and authority to consent to the terms of this Testimonial Release. I agree that this consent is realized and enforceable as of the date I have entered above. Releasor Signature * Clear Signature EmailSubmit Testimonial & Release