SOCIAL MEDIA CONSENT FORM

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SOCIAL MEDIA CONSENT FORM

I hereby give Golden Pet RX permission to take and use photographs of me and/or pet as well as any testimonials I provide online for the purpose of on Golden Pet Rx's social media platforms, pharmacy website and in pharmacy.

Email *

Golden Pet Rx has my permission to use: (Check One) *

My pet's name(s), my first name and testimonial

Only my pet's name(s) and testimonial

Required

In signing this consent, I give authorization to use my name and my pet's name as printed below. Email/phone number will not be shared online.

Pet's Name: *

Owner's Name: *

Owner's Phone Number: *

Owner's E-signature *

Date *

YYYY

Send me a copy of my responses.

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