Customer Story Submission Form

Here is your chance to share your story for all to enjoy. Please take the time to fill out the form below and hit submit.

Fields marked with an * are required.
Name: * 
Email Address: * 
Your Experience:
*
Date Your Story Occurred: * 
Location: * 
Model Used: * 
  You must provide us a picture to accompany your story. We will accept JPEG and GIF files only (100K maximum size).
File:   
*   Agree with Legal Terms:
Legal Terms
By posting, uploading, inputting, providing or submitting ("Posting") your submission you warrant and represent that you own or otherwise control all of the rights to your submission and you are granting G.LOOMIS, INC., its affiliated companies and necessary sublicenses permission to use your submission in connection with the operation of their businesses, including, a royalty-free, perpetual, irrevocable, world-wide exclusive license to use, reproduce, create derivative works from, modify, publish, edit, translate, distribute, perform, and display the communication or content in any media or medium, or any form, format, or forum now known or hereafter developed and to publish your name in connection with your submission.


No compensation will be paid with respect to the use of your submission, as provided herein. G.LOOMIS, INC. is under no obligation to post or use any submission you may provide and G.LOOMIS, INC. may remove any submission at any time in its sole discretion.

In addition to the warranty and representation set forth above, by Posting a submission that contain images, photographs, pictures or that are otherwise graphical in whole or in part ("Images"), you warrant and represent that (a) you are the copyright owner of such Images, or that the copyright owner of such Images has granted you permission to use such Images or any content and/or images contained in such Images consistent with the manner and purpose of your use and as otherwise permitted by this website, (b) you have the rights necessary to grant the licenses and sublicenses described herein, and (c) that each person depicted in such Images, if any, has provided consent to the use of the Images including, by way of example, and not as a limitation, the distribution, public display and reproduction of such images.

 
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