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Name:
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Email Address:
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Mailing Address:
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Is this the location you are contacting us about regarding paranormal activity?
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About how large is the building or property?
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If the location is a home, how many people currently reside there?
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If the location is a home, how many animals live inside of this home? (Exclude fish, birds or other caged animals)
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Does this location have broadband internet access? (Cable, DSL or Sat.)
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If you answered YES to the previous question, would you be willing to allow INsight to transmit data and video to our server using your cable, DSL or satellite connection? This allows us to save data, video and audio information as well as allows us to transmit live feeds to our field members/investigators who are not on location.
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Your Phone Number:
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Cell Phone (If Applicable):
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Other phone number:
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Please give a brief description of the activity you are currently experiencing:
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Is there anyone else that has experienced this activity? If so, please provide their name and contact information:
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Do you have any documentation or evidence collected? Examples may include photos, video, or recorded audio. (If possible, please submit copies of evidence to casesubmissions@insightparanormal.org)
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How long have you been aware of this activity?
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Keeping a written journal of events may help our team identify a pattern of activity and other factors relating to the events you are experiencing. Do you have any written log or journal of the events happening?
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Do you have any historical information or records in regard to the location? This may be in the form of historical documentation, personal accounts, etc.
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Do you or anyone in your family have a history of mental illness?
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Are you or anyone involved in this case currently taking any medications which may affect their perception? If so, please list the medication so our team may research the possible effects of this medication.
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INsight uses a Mobile Command Unit that is marked with the words INsight Paranormal. The vehicle is used to observe (Recording and transmission of video and audio feeds) from outside of a location as well as provide INsight with a mobile base of operations during investigations. The vehicle is a HIGH PROFILE vehicle and is marked. People CAN and DO see this vehicle and may ask you questions as to why it was at your location. Do you understand this?
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If you do not want the Mobile Command Unit to be visible, can you provide a place where we can move the vehicle out of public view? (This must be no further then 10 feet away from the building or property being investigated as camera and electical hooks ups must be located close by and be able to accommodate a vehicle 8.5 ft high, 15 ft long and 6.5 ft wide)
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Do you understand that INsight will connect the Mobile Command Unit and/or our equipment up to the locations electrical system? (Outlets only... if this is a remote outdoor location INsight will bring a generator)
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If you agree to all of the above listed terms then initial here:
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By electronically signing this form, I am certifying that the information I have provided is true to the best of my knowledge. Additionally, my electronic signature indicates my agreement to the terms indicated in this form:
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Please re-enter todays date as verification of your electronic signature:
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