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IDENTIFICATION
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| * Full Name |
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| * Gender (M/F) |
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| * Age |
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| Street Number |
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| City, State, Zip Code |
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| * Country |
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| Home Phone |
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| Work Phone |
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| * E-Mail Address |
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DESCRIPTION OF EVENT |
| * Event Location (City/State/Country) |
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| * Date of Event |
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| Time of Event |
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| * Duration of Event |
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| Weather Conditions |
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| * Has this event been reported by you to any other agency (Y/N)? (If Yes, please name) |
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| Previous Encounters? |
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| * Additional Witnesses |
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DESCRIPTION OF ALIENS |
| * Number of
Entities |
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Shape |
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| Eye color |
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| Height |
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| Sound? |
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| Weight |
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| Color |
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| Behavior |
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| Additional
Details/Markings |
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| Was the
alien: |
passive
friendly
hostile
other
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| Did you see a UFO? |
YES
NO |
| If "YES" please describe UFO here |
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| Time loss/memory loss? |
YES
NO |
| Photo(s)/Film/Video/Sketch available? |
YES
NO |
If "YES" please mail, fax, or e-mail |
UFO PHYSICAL CHARACTERISTICS: (Check appropriate boxes)
Light form only
Vehicle/Device
Animal reaction
Physical traces
Atmospheric traces
Psychological event
Bodily or Anatomical event
Electromagnetic event
Landing/Touchdown of UFO
Prior UFO sightings
UFO FLIGHT CHARACTERISTICS: (Check appropriate boxes)
Passed overhead
Within 200 feet of ground
Within 200 feet of witnesses
Under cloud ceiling
Change in motion
Continuous flight
Stationary target
Other facts you may wish to include:
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Please suggest the best time a UFORC investigator may contact you for follow-up:
PLEASE SEND ALL DRAWINGS, PHOTOGRAPHS AND OTHER EVIDENCE BY MAIL TO:
UFO RESEARCH CENTER, Attn: C. Montgomery 1402 Lake Tapps Pkwy E., Suite 104 Box 265, Seattle WA USA 98092-8157
We accept all major carriers including UPS and FedEx. Fax: 253.333.0996 24/7
Thank You!
PLEASE E-MAIL ANY DIGITAL PHOTOGRAPHS THAT YOU MAY HAVE, INCLUDING DIGITAL MOVIES TO
webmaster@uforc.com
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