First and Last Name *

First Name

Last Name

Phone (only used if we need to follow up) *

(###)

###

####

By clicking the Submit button, you are granting Geeky Stitches permission to post your testimonial on our website (www.geekystitches.com) and on our social media pages. We respect your privacy. Please select from the following options: *

Please do not display my name on the website (neither FIRST nor LAST Name)

Please abbreviate my LAST name with only the last initial (for example: John Smith displays as John S.)

Please abbreviate my FIRST name with only the last initial (for example: John Smith displays as J. Smith)

I am comfortable with my FIRST AND LAST names displaying on the website