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witness of a guinness world records attempt – statement

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WITNESS OF A GUINNESS WORLDRECORDS ATTEMPT <strong>–</strong> STATEMENTI,____________________________________ declare that I am not associated with,or related to, the record organizers or participants, nor have anything to gain fromthe final outcome <strong>of</strong> the <strong>attempt</strong>. Therefore I have acted as a <strong>witness</strong> <strong>of</strong> theGuinness World Records <strong>attempt</strong> for the record: ___________________________This <strong>attempt</strong> has the Claim ID number: ___________________My current job title/pr<strong>of</strong>ession is: ________________________I work for: __________________________________________My contact details are:Name: __________________________________________Address: ________________________________________City: ____________________________________________Province/State: ___________________________________Country: _________________________________________Telephone number:________________________________Email address: ____________________________________I am willing to be contacted by Guinness World Records to discuss any detailsregarding this record claim.I acted as a <strong>witness</strong> in this record <strong>attempt</strong> because my field <strong>of</strong> expertiseis:_______________________________________________


I am including my business card to this <strong>witness</strong> <strong>statement</strong>: YES NOWHERE the record <strong>attempt</strong> took place?Venue: ___________________________________City: _____________________________________State/Province: _____________________________Country: __________________________________WHEN were you present at the record <strong>attempt</strong> (dates andtimes)?Final measurement:


WHAT DID YOU SEE / MEASURE / EVALUATE AS A WITNESS?I am willing to be contacted by Guinness World Records to discuss any detailsregarding this record claim.Signature:Date:

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