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SafeCall
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Date and Time of the proposed meeting
About Your SafeCall Designate
About You
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| First Name: |
| Last Name: |
| Title: |
| Organisation: |
| Street Address: |
| Address (cont.): |
| Town/City: |
| County/State: |
| Country: |
| Postal/Zip Code: |
| Home Phone: |
| Work Phone: |
| Mobile Phone: |
| Fax: |
| Email: |
| URL: |
Please provide the following partner's information, items with an # are vital.
Do not meet anyone who will not give you this information!
| # First Name: |
| Last Name: |
| # Nick Name: |
| Title: |
| Organisation: |
| Street Address: |
| Address (cont.): |
| Town/City: |
| County/State: |
| Country: |
| Postal/Zip Code: |
| # Home Phone: |
| Work Phone: |
| Mobile Phone: |
| Fax: |
| Email: |
| URL: |
Please identify and describe them:
Have you got a picture of the person? Attach it to this form if you have
| Age: |
| Sex (M/F): |
| Height: |
| Weight: |
| Hair Colour: |
| Eye Colour: |
| Skin Colour: |
Will you be meeting at:
| Your Home | Their Home |
| Hotel | Friend's Home |
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Other (Specify):
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Please provide the following information, if meeting is at a friend's home, hotel or 'other':
| Friend's First Name: |
| Friend's Last Name: |
| Friend's Title: |
| Hotel & Room No.: |
| Street Address: |
| Address (cont.): |
| Town/City: |
| County/State: |
| Country: |
| Postal/Zip Code: |
| Friend's Phone: |
| Friend's Mobile Phone: |
| Hotel Phone: |
| Fax: |
| Email: |
| URL: |
You will need an "everything's all right" word and a "things are going wrong" word. This should be something you would use in normal conversation. For instance, you tell them "Hi yes (your nick name) is all right" meaning everything IS Fine or "hi yes (your Christian name) is all right" meaning something is WRONG!
'All right' Code Word/Phrase:
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'Get HELP' Code Word/Phrase:
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| Time Of Calls: | |
Print this form, fill it in and give it to your designate along with a photograph of your prospective partner if you have one.
Make sure you and your designate have discussed all eventualities, and what action will be taken..