Work Text:
REQUEST FORM – ITEM RETRIEVAL
1) Client information
Name: ____________________________________________________
Address: __________________________________________________
Phone: ____________________________________________________
E-mail:____________________________________________________
2) Item information*
Name: ____________________________________________________
Description:________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Location:__________________________________________________
__________________________________________________________
__________________________________________________________
Number of people who searched for the item: _____ (Of those died: _____ )
Delivery address**:__________________________________________
____________________________________________________________
3) Dangers include (check all that apply):
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Booby traps
-
Modern security systems
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Unstable terrain/architecture
- Wild animals
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Hostile humans
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Supernatural beings
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You/your henchmen trying to kill me
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Other (specify): ________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Disclaimer: Payment not required for services rendered. Contractor reserves the right to refuse services if information in section 3) is not suitably perilous.
*Fill in to the best of your knowledge
**Leave blank if same as client address