Tie Tamer™Interest formName(Required)Email(Required) Enter Email Confirm Email I'm interested!(Required) I would like to be tester for the prototype. I just want to be notified when the final product is available for purchase.Prototype Tester AgreementConsent(Required) I agree to the terms.In order to become a prototype tester and receive a free Tie Tamer™, I will: ● Pick up the Tie Tamer™ in Valparaiso, IN within 3 business days of completing this form ● Wear/use the Tie Tamer™ at least 5 times in the next 30 days (your Trial Period) ● Provide feedback via an online form (link will be provided) within 5 days of the completion of your Trial Period. Furthermore, I release my statements for public disclosure, and I agree that the information I provide may be used for marketing purposes indefinitely unless and until I request in writing that my statements no longer be used as such.Digital Signature(Required)By entering my name in this field, I acknowledge that I have read the above terms and agree to them.Note/Comment/Question 30442
