Form used to obtain consent for using photo, video, audio in First United Bank & Trust marketing materials. For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby give First United Bank & Trust (and its successors and/or agents) my consent to use my testimonial video, audio, name and photo (with or without identifying the photo as me) in advertisements and other marketing materials in any media as it sees fit. First United does not have to seek my approval on any future use of any of these materials.Date(Required) MM slash DD slash YYYY Email(Required) Name(Required) First Last I am 18 or older(Required) Yes No Signature(Required)If under 18 - Name of Parent or Guardian First Last Parent or Guardian signatureCAPTCHACommentsThis field is for validation purposes and should be left unchanged.
