Please rest assured that your personal information will never be viewed by anyone outside of NEARPS without your knowledge and consent.  We value your privacy!!!

Enter Name:*
Enter Email Address:*
Company Name (if applicable):
Phone Number with area code:*
Reason for Contacting Us:*
Questions/Comments:*

If you are in need of our services, please take the time to answer a few questions so that we can further assist you.  Please fill out as much as you can because the more we know, the more we can try to help you. Please rest assured that any information that you provide to us will be kept strictly confidential!  Your privacy is our #1 priority!

If you are not in need of our investigation services, please skip the next section.

The location that is affected by paranormal activity is:
The approximate frequency of the paranormal events:
Please provide us with the first names and ages of those affected: *

Check the activity that has been experienced in the location:
Hearing Noises (Bumps, Footsteps, etc.)
Hearing Voices (Whispers, Groaning, etc.)
Seeing Apparitions (Shadows, Figures, etc.)
Animals reacting to things no one can see
Children reacting to things no one else can see
Lights turning on/off
Objects Moving
Direct contact (light pushing, touching, etc)
Severe Contact (biting, scratching, hair pulling, etc)
Heavy objects being moved
Other (describe)
Please provide us with some information about your location,
(i.e.. on a quiet street, busy neighborhood, number of levels to the building, etc)

Any additional information that you feel may be pertinent to your case
(i.e. deaths have occurred in the home, any remodeling performed recently, any occult summoning rituals performed like using Ouija type board or séances, etc):

How did you hear about NEARPS?



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