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I agree that Beyond Bones Chiropractic and Wellness may print and use my Chiropractic success story, copying and distributing it in order to help educate others about the true stories of my success. I am also aware that my testimonial may be selected to be printed in our monthly newsletter and/or other marketing and advertising activities. By Signing below, I give permission to have my success story used without having to receive any notice.

I agree that Beyond Bones Chiropractic and Wellness may ... · I agree that Main Street Chiropracïc & Wellness Center may print and use my chiropractic success story, ccpying and

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Page 1: I agree that Beyond Bones Chiropractic and Wellness may ... · I agree that Main Street Chiropracïc & Wellness Center may print and use my chiropractic success story, ccpying and

 

I agree that Beyond Bones Chiropractic and Wellness may print and use my Chiropractic success story, copying and distributing it in order to help educate others about the true stories of my success. I am also aware that my testimonial may be selected to be printed in our monthly newsletter and/or other marketing and advertising activities. By Signing below, I give permission to have my success story used without having to receive any notice.

Page 2: I agree that Beyond Bones Chiropractic and Wellness may ... · I agree that Main Street Chiropracïc & Wellness Center may print and use my chiropractic success story, ccpying and

 

Page 3: I agree that Beyond Bones Chiropractic and Wellness may ... · I agree that Main Street Chiropracïc & Wellness Center may print and use my chiropractic success story, ccpying and