Thank you for your willingness to submit a quote regarding your experience with Safari Books Online. Your feedback will help us two-fold. One, we’ll be able to use your quote in our marketing activities. Two, the information you provide will help us improve upon the quality of the services and products that are delivered to you. Please know that we will at no time share or sell your personal information with a third party.

Permissions
Please indicate what information we are able to use in our marketing activities. (Check all that apply)

All Permissions
	Company Name	Full Name
	Company Logo	Title
	Testimonial/Quote	Headshot/Photo

Marketing Activities
Please indicate in what marketing activities we can use your quote.
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All Marketing Activities
	Print Advertising
	Events (tradeshows, webinars, etc.)
	Speaking Opportunities
	Marketing Material (brochures, sell sheets, etc.)
	Customer Testimonial Video
	Analyst/Press Interviews
	Web site

Testimonial/Quote
 

Contact Information

First Name	Last Name
Telephone	Email
Company Name	Title
If possible, please attach a photograph (headshot) of yourself.	If permission granted, please attach your company logo below.

Additional Comments

I, , give Safari Books Online
     authorization to use my quote and information as indicated and authorized
     above in their marketing activities.

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