Marketing Consent Form

Secure Contact Form

Please complete the marketing consent form so we can share your story.

Purpose (i.e. mortgage testimonial, Bank Locally video, etc.)

Primary Customer's First Name

Primary Customer's Last Name

Secondary Customer’s First Name

Secondary Customer’s Last Name

Business Name (if applicable)

Address Line 1

Address Line 2

City

State

ZIP

Email Address

Phone Number

Statement (if this is a testimonial, please describe why you’re happy you chose Forte Bank, what you love about your loan officer or personal banker or what you love about Forte Bank)

Image Upload (jpg)

Maximum 7 MB

File Upload (pdf)

Maximum 7 MB

Authorization to use image/information in public communications

I hereby consent and authorize Forte Bank to reproduce, exhibit, publish, circulate, distribute and otherwise use for marketing purposes any of the following: (in full or in part) my name, portrait or photograph, written statement, any photographic, video, film, and/or audio recordings made of me or my likeness, and/or any written extract of such recordings in which I may be included, for use in any medium now known or in the future invented, specifically including: magazines, newspapers, publications, booklets, circulars, billboards, CD-ROM, electronic media, social media, radio and/or television scripts, radio broadcast transcriptions, and/or telecast. I hereby release, discharge, and agree to hold harmless Forte Bank and all persons acting under its permission or authority of and from any and all rights, claims, demands, actions, suits, liability or injury that I may or can have against Forte Bank on the account of the use, or publication of said material.

Authorize/Consent Yes

Marketing Consent

Allow Us Share Your Story

Secure Contact Form

Authorization to use image/information in public communications

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