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Voice of the Victim Survey
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Your Name *
You were ? *
Required
In What System? *
By *
On the date of? *
MM
/
DD
/
YYYY
I am writing to inform you that you and your corporation are, *
Required
and you *
for people like me.  Therefore you pack of (Insert plural name here) *
I have taken it upon myself to enlist the help of *
To Come and *
As revenge for destroying my *
I sincerely hope you all *
In Closing, I would Like to say, *
Submit
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