Your Menopause Story
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Menopause Release Form
By submitting this information I agree that Sheri Smith has full rights to it and any other information I give her, whether by email, phone, letter, or any other form of communication.
 
I understand I will not be payed in anyway for this information, now or in the future.
 
I give up full rights to this information and understand it may be used in various forms for the writing, advertising and selling of this book and any other future form derived from this book.
 
In other words, Sheri Smith can use any information I give her, how ever I give it to her, and can use it in anyway she needs to to help her with this book and any future works.  And, I will not get any form of payment now or in the future.
 
 
IF YOU HAVE ANY PROBLEMS WITH THIS RELEASE FORM, PLEASE CONTACT ME.  I WILL DISCUSS IT WITH YOU AND SEE IF WE CAN WORK OUT ANY PROBLEMS YOU HAVE WITH IT.  I REALLY DO WANT YOUR STORY.

FIRST NAME
MIDDLE INITIAL
LAST NAME
ADDRESS
ADDRESS
CITY, STATE
ZIP CODE
EMAIL ADDRESS
CONFIRM EMAIL
PHONE NUMBER
  

I will be contacting you by email, mail, or phone to verify you are who you say you are and tell you if I have chosen your letter to be used in my book.
 
Thank you so much for taking the time to do this.
 
Sincerely,
Sheri

AFTER FILLING OUT THE RELEASE FORM, CLICK HERE TO CONTINUE WITH YOUR LETTER!!

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I AM NOT AN EXPERT.  PLEASE TALK TO A DOCTOR FOR DIAGNOSIS AND MEDICAL ADVICE.  I CAN GIVE YOU MY OPINION, BUT THAT IS ALL IT IS :)