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Paranormal Court TV Case Submission Form

Please complete the following form in as much detail as possible. Once completed and submitted with a photo of yourself, a member of our production staff will contact you. Thank you for your story.'); document.write(''); document.write('Please note that * depicts that these questions must be answered in order for your submission to be submitted.'); document.write(''); document.write('Thank You.

Your Name: *

Are You Over The Age Of 18?: * Yes No

Your Email Address: *

Complete Address: *

City / Town / Municipality: *

Province: *

If Your Case Is Outside Of Canada, Please Give State / Country: *

Postal Code:

Telephone Number (Home):

Telephone (Cell):

Skype Address:

Your Website Address If You Have One:

What Is The Best Way For Our Producer To Contact You?:

My Paranormal Experience Is... Psychic / Spiritual Healing ESP Haunted House Demonic Possession Ghost Telepathy UFO Extraterrestrial Contact Alien Abduction Clairvoyance Prophecy Angels Witches Reincarnation Other - See Below

Please Tell Us What Paranormal Event You Witnessed: *

Has You Been On Any Radio / TV Show or In Print / Digital Media Describing Your Event And If So Where and When?

Do You Have Any Video or Photos Of Your Event?:

Please Us This Part For Anthing Else You Would Like Us To Know.

Why do you want to have your case heard in Paranormal Court TV? *

Please Attach Your Photo Here *

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