Testimonial Submission Form

Privacy Policy Acceptance Acknowledgement (please note this is a required field)(Required)

Charitable Donation Details

Please note we'll be honored to make a $100.00 contribution in exchange for each testimonial we publish.
The contribution will be made in your name, your company's name or anonymously as you direct. We recommend contributions to the Disabled Veteran's Association, Wounded Warriors Project, Make a Wish Foundation, The Red Cross, or any other national or local charity organization of your choice! It's our way of thanking you and showing our mutual appreciation to those who serve our country or provide our support to those who need it most!
In exchange, we ask only that submissions of testimonials be limited to one per Company, and please note we reserve the rights to validate each submission and chose whether to publish it.
I ask that a donation be made in appreciation for my testimonial submission:
Please make my contribution to the following organization:

I prefer my donation to be accredited in the following manner:

I request that details of the charitable contribution be included in my testimonial:

Testimonial Posting Authorization

By clicking the Yes button below, you authorize Best Purging Systems to publish your testimonial on our website.
Please verify we may post your testimonial, listing your name, title and company.