Please do not provide personally identifiable information in your story, such as first-and-last-name combinations, phone numbers, email addresses or related information.
For good and valuable consideration, receipt and sufficiency of which is acknowledged, I, on behalf of myself and my successors and assigns, agree with and represent to Pfizer Consumer Healthcare and/or others working on its behalf and any publishers or other interested media as follows:
I hereby give permission, irrevocable and in perpetuity on a non-fee basis, to reproduce, copy, publish, broadcast, or otherwise use my name, picture, likeness or statements or any material based upon or derived from them, in any media whatsoever throughout the world, including, without limitation, for any and all advertising, promotion and other purposes of trade.
I agree that I shall have no right of approval, no claim to additional compensation or benefit, and no claim (including, without limitation, claims based upon invasion of privacy, defamation, or right or publicity) arising out of any use or any editing, blurring, distortion, alteration, optical illusion, or use in partial or composite form, whether or not intentional.
I am not a professional actor. To my knowledge, neither my name, voice nor likeness has been included in any advertising material. I am now a bona fide user of ThermaCare®. The statements I have made concerning ThermaCare® were made without any prior payment or promise of payment or any other benefit having been made to me and without any expectation by me of any payment or benefit in return for making such statements. The statements made by me reflect my true and honest opinion of an experience with ThermaCare®.
I am 18 years of age or older and have the right to enter this agreement.