Employee Incentive Program Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Incentive Information2Customer Photo Release FormEmployee Name *Incentive TypeCustomer Name *Incentive Type *--- Select Choice ---5-Star Review ($25)Picture of Customer with Equipment ($50)Video review of customer ($100)Spark Club Membership ($10-$50)New customer referral (2% commission)End-to-end sale (7.5% commission)Employee Referral ($500-$1500)File Upload Click or drag files to this area to upload. You can upload up to 3 files. Upload a customer photo/video if applicable Name Or release NextCustomer Photo Release FormConsentI acknowledge that I have read and agreed to the release terms.PHOTO/VIDEO RELEASE FORM I hereby grant permission to Efficient Modern Heat Pump HVAC Inc., doing business as Electrify My Home, the rights of my image, likeness and sound of my voice as recorded on audio or video without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse settings within an unrestricted geographic area. Photographic, audio or video recordings may be used for the following purposes: • marketing collateral • promotional or educational videos • online promotion, including but not limited to: Facebook, Instagram, LinkedIn, online ads, and other websites By agreeing to this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in public. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings. I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for the purposes listed above.NameDateSignature Clear Signature Or upload an existing release Click or drag a file to this area to upload. Submit