We want to hear from you!

Share a written or video testimonial about your experience with any Liphatech product(s), and we’ll send you a limited-edition t-shirt.*

To participate, simply fill out and submit the form below. Don’t wait, shirt quantities are limited. Submit today to become an exclusive member of the Rodent Death Squad!

 

Consent & Release

I hereby authorize Liphatech, Inc. and its staff to use, and to permit publication of my name, company name, statements, photographs, video’s and electronic media taken of me, or which I may appear, for advertising, publicity or any other lawful business purpose.

By submitting this form, you are hereby consenting to allow Liphatech Inc. to use and disclose the information in your testimonial and acknowledge that your testimonial may be distributed to the public.

You also waive the right to prior approval and hereby release Liphatech and its staff from any and all claims for damage of any kind based on the use of my testimonial or information in the testimonial.

 



*Shirts are standard Men’s sizing. Limit one t-shirt per PMP. Offer available to PMPs in USA only. For video entries, please limit the recording to 45 seconds or less. Shirts will be sent from Liphatech 3-6 weeks from receipt of entry. Liphatech reserves the right to determine and award qualified entries. Incomplete or improperly filled forms will not be honored.