Troy The Locator

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

Home:
Cell:
Work:

Email Address:*

Your Gender:*

Your Age:*

Your Location:*


City	State

Your Reunion Information:
-	Is this Adoption Related?*	No Yes

Who do you want to Reunite with?*

Where was the Adoptee Born?*


City	State

What is the Adoptee's Date of Birth?*

mm/dd/yyyy

Who do you want to Reunite with?*:

The Name of the Person you to Reunite with:*


First	Last

What is their Date of Birth?*

mm/dd/yyyy

What is their Approximate Age?*

Where were they last:*

Please tell us why you want to Reunite with this person and why you want to share your Reunion On TV:*

Send a Photo of yourself:

Select only GIF, JPG or BMP files of Less than 1 Meg in size please.

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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