Troy's Consumer Warning

Reunite On TV

Reunite On TV Request Form
Your Contact Information:  

* = required fields
If unknown, write "UNK" in the required field.

- Name:*
First Last
- Phone Number:*
(xxx) xxx-xxxx
- Email Address:*
  To ensure recieving emails from us please check that email is not in your SPAM and is authorized in your WhiteList."
  Your Gender:*
  Your Age:*
- Your Location:*
City State
- Emergency
Contact Name Contact Phone #
- Your SSN:*

Your Reunion Information:
- Is this Adoption Related?*   No    Yes
- Please tell us why you want to Reunite with this person and what would you want to say to him/her?:*

- Send a Photo of yourself:
Submissions with Pictures considered first.
Select only GIF, JPG or BMP files of Less than 1 Meg in size please.
- If available Send a Photo of the Person you want to reunite with:
Select only GIF, JPG or BMP files of Less than 1 Meg in size please.
- Yes* , I am 18 years of age or older.

Please note: Submittal of this form in no way guarantees you or your story will be on TV, or we can find or reunite you with the person you are looking for.  We will review your request and will pass it on to Producers who are looking for stories for their shows.  By submitting this form you may receive calls from Producers and Investigation Consultant calling you for the purpose of reviewing your information. Your information will be kept confidential and secure. 

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