*By clicking "submit," I agree to give Quontic Bank employees, designees, agents, independent contractors, legal representatives, successors, assigns & all persons or departments for whom or through whom it is acting, the absolute right & unrestricted permission to take, use my name, testimonial & biographical data for advertising, marketing, publicity, archival or any other lawful purpose.

I waive any & all rights that I may have to inspect and/or approve the finished product that may be used or to which it may be applied now and/or in the future, whether that use is known to me or unknown. I waive any & all rights to royalties or other compensation arising from or related to the use of the image or product.

I release & agree to hold harmless Quontic Bank, its Board, officers, employees, agents, nominees, departments, and/or others for whom or by whom Quontic Bank is acting, of and from any liability by virtue of using the testimonial/biographical data, in any processing tending towards the completion of the finished product, and/or any use whatsoever of such products, whether intentional or otherwise.

I certify that I am at least 18 years of age & that this release is signed voluntarily, under no duress, & without expectation of compensation in any form now or in the future.