Complete this form and return it to us with a photo that represents your mission, tells a story about what you do or a group shot of your staff (please include names). Email your PDF form submission, along with an attached picture, to: inspiration@donorperfect.com Or, mail to: SofterWare Attn: Lauren Sheehan 132 Welsh Road Suite 140 Horsham, PA 19044 The deadline to enter is July 20, 2012. Name of Organization: ___________________________________ Your Name: ___________________________________ Client ID: ___________________________________ How many years has your organization been operating? _____________ Approximately how long have you been using DonorPerfect? _____________ What is the Mission Statement of your organization? How has DonorPerfect made your work easier? Story Time! You do inspirational work every day to support your cause. Tell us about a recent accomplishment that your organization is particularly proud of and that highlights your mission. Picture Time! Send us a picture that you feel best represents your mission, tells a story about what you do, or send a photo of your staff and volunteers (please include names). If you have a specific photo that relates to your accomplishment above, we’d really love to see that! Rules & Regulations: No Purchase Necessary! Must be a valid DonorPerfect Online or Installed client as of July 20, 2012. Release Form (Basically, we aren’t going to advertise with your picture, just hang it on our walls but we need your consent.) I hereby grant SofterWare, Inc. and its agents, employees, successors and representatives the perpetual, non-exclusive, royalty-free right and license to copy, use, re-use, publish, and republish the pictures and/or content submitted. This includes but is not limited to my email campaigns, surveys and testimonials, in which I may be included in whole or in part, or any reproduction thereof in color or otherwise, made through any and all media for marketing purposes for illustration, art, promotion, advertising, trade, or any other purpose whatsoever. I also permit the use of any printed material in connection therewith. I understand that SofterWare may use my likeness for promotional and/or informational purposes from time to time. I hereby agree to hold SofterWare, its licensees, partners, and affiliates harmless from any liability resulting from my statements and action depicted or described in the information, text, and graphic representations herein submitted. I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy, printed matter, or screenshots that may be used in conjunction therewith. I have read the above consent, authorization, release and agreement. I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns. Dated: _____________________________________________________ Signed: _____________________________________________________