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Body Parts Acquisition Form:

By signing this paper I agree not to disclose the source of any body parts received.
Failure to comply with this will result in a $800 fine. I also understand I may not receive
any body parts. All prices offered are final. Please answer the following questions:

Which body parts are you requesting?

What use do you have for them?

When do you need them by?

Have you ever been arrested for necrophilia?

Would you like to go out with me?

Please?

Please note that a form containing unsatisfactory answers will result in 2 demerits and a
year long ban from submitting such a form again.

SIGN HERE: ___________________________________________

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