Too Big a Jolt From Your Java?

Oct. 10, 2005 — -- Have you ever ordered a decaf coffee, and received a regular coffee -- or one with more caffeine than you expected -- and had an adverse reaction? If this describes you and you would like to share your story on "20/20," we'd like to hear from you!

Fill out the form below if you'd like to share your story, and a producer may contact you.

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Your Story:

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Name:

E-mail address:

Phone Number:

Hometown:

Your Story:

Thank you!