Form Submission




Thank you for taking the time to fill out this form. On the next page you will see a link to Response-o-matic. Although I created this form by myself without their automated form, without the help of their cgi I would have never been able to get this up and running. All fields are required with the exception of "Your Name".





Your Name (optional):
Email Address:
Name of Perpetrator:
Age of Perpetrator:
Location:
Crime:
Details:
Accomplice:
Date Convicted:
Sentence:
Source:
Source Url:
Email me when my names go up:	Yes No




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