Alien Abduction Experience Form

Use this form to report your alien abduction experience. If you are reporting a ufo or alien sighting, please use the UFO Sighting Form.

Please try to answer all questions, but do not try to fill in gaps that you cannot recall.
Accuracy is the key, not quantity.

Note: Due to the sensitive nature of this subject, Mystical Universe will not accept submissions unless accompanied by an accurate email address, and we will NOT publish any submissions containing offensive language.

Before starting, we suggest that you look through the form to familiarize yourself with it. We also suggest that you write out your detailed sighting/experience in notepad, Microsoft Word, or your favorite text editor, and then copy and paste the information into the form. This way you have a copy of it, in case something goes wrong when you send the form, or if you accidently reset the form, lose internet connection or accidently close the window.

* Denotes a required field

Your Information

*First Name:		(last name optional - last name will NOT be published)
*E-mail:		(required but will NOT be published)
*Would you like one of our investigators to contact you? Yes No
I have picture(s). (please send pictures to our email address. Make sure you supply your name and use the email address you used to fill this form out, so that we can match your pictures to your report.)
I have video(s). (we will contact you via the email address you used on this form to make arrangements for us to receive video(s))

Abduction Location Details

*Town or City:
*State or Province:
*Country:
Use this field for any other location information:
*Date Of Event:	This is an exact date This is an approximate date I don't remember date Month Day Year (Not required if you checked "I don't remember the date")
*Time of Event:	This is an exact time This is an approximate time I don't remember the time Time AM/PM (Not required if you checked "I don't remember the time")
Event Duration: How long did the abduction last? If you do not know, leave this blank.
Number Of People Abducted:

Detailed Description of Abduction

Use the space below to explain your abduction. Please be as descriptive as possible.
Do not include personal information like names, addresses, telephone numbers, e-mail addresses etc.