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I authorize Empower to publish this testimonial in any of Empower’s marketing materials; including, but not limited to: its websites, press releases, social media platforms, print marketing materials, and videos. I understand that I will not receive any monetary compensation for providing my testimonial. I understand that Empower has the sole right to decide whether to use, or not to use my testimonial, and may summarize or shorten it as needed. I am at least 21 years of age and can contract in my own name. I have read this release before authorizing it below and I fully understand the content, meaning, and impact of this release. I acknowledge that I may revoke this consent by sending a written notice to Empower at the address provided below and that my testimonial will be removed from all marketing materials in the next printing of said marketing materials following receipt of my notice. I acknowledge that it may be difficult or impossible to remove it from all sources. Empower Attn: Brand Management 4207 SE Woodstock Blvd, #131, Portland, OR 97206