Testimonial Form

Please note: This information will be only be used for any follow up communication. You can choose if your name is displayed with your testimonial later in this form.

Please note: This information will be only be used for any follow up communication. Your email address will not be displayed publicly in any way.

Please note: This information will be only be used for any follow up communication. Your email address will not be displayed publicly in any way.

Please select your state or territory.

Please select which category or group you are submitting this testimonial as.

Please write your testimonial or any comments below. For examples of other testimonials, you can visit our testimonial page.

If you would like to provide a photo to accompany your testimonial, please submit this form and then email your photo/business logo to info@nationalassistancecard.com.au along with your name.

Please answer the following questions to indicate permission to share your testimonial.

I give permission for my testimonial to be used on the National Assistance Card website, social media platforms and other promotional material.

I give permission for my first name (or business name) to be included with my testimonial.

Please note all information is kept confidential in accordance with our privacy policy.

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