Video Testimonial Release Form

I understand my ebike Assembly Video/Testimonial ("Video"), made on behalf of Really Good Ebikes ("RGE"), may be used in connection with publicizing and promoting RGE. I authorize RGE to use my name, brief biographical information, and the "Video" for such purposes as set forth below.

I hereby irrevocably authorize RGE to copy, exhibit, publish or distribute the Video for purposes of publicizing RGE products or for any other lawful purpose. The Video may be used on commercial websites or in any other distribution media. If the Video is used for commercial purposes, I will receive a one-time, $100 refund on my purchase. I agree that I will make no other monetary or other claim against RGE for the use of the Video.

In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my likeness or my testimonial appears.

I hereby hold harmless and release RGE from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I have read the authorization and release information and give my consent for the use as indicated above.