Paranormal Activity Experience Report Form

Use this form to report your paranormal activity experience. (ghosts, hauntings, clairvoyance, esp etc...)

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.

Please remember, accuracy is the key, not quantity.

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*First Name:		(last name optional - last name will NOT be published)
*E-mail:		(required but will NOT be published)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))

What type of event are you reporting:

(ghost, haunting, ouija board, esp etc... if you are unsure what to put, just leave blank)

Sighting/Experience Location Details

*Town or City:
*State or Province:
*Country:
Use this field for any other location information, but do not use addresses:
Date Of Event: If this is a 1 time experience	This is an exact date This is an approximate date I don't remember date Month Day Year
I've Experienced This More Than Once: Please give a short explanation ( eg - 10 times, 2 month, etc)
Number Of Witnesses:

Detailed Description of Paranormal Sighting/Event/Experience

Please be as descriptive as possible.
Do not include personal information like names, addresses, telephone numbers, e-mail addresses etc.