Site hosted by Angelfire.com: Build your free website today!

Pen Pal Club membership form
(We keep this form on file for future reference) Instructions: Print this form out and then fill it out. If you do not have a printer or for some reason cannot print this out, then copy this form onto a separate piece of paper and then fill it out. After you have filled out this form, send it to the address in the details file.(If you need more room please write on the other side of the form). Personal Address:
Name:______________________________________________________
Address_______________________________State:____City:__________
Zip:_______________Phone#:__________________
Email Address:___________________________________

Business Address:
Co. Name:______________________________________________________
Address:______________________________State:____City:__________
Zip:_______________Phone#:__________________
Occupation:_________________________________
What do you look for in a Pen Pal?
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Special Interests:
Instructions: Write a paragraph or two describing yourself.
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

Hobbies:
____________________________________________________________
____________________________________________________________

Future Plans:
____________________________________________________________
____________________________________________________________

Type of service: Pen Pal ( ) E-mail Pal ( ) Age________ Gender: Male( ) Female( ) Country________
Do you wish to receive information containing to your interest?( )Y ( )N
Code# of salesperson who sent you:____________
Email address of sales person who sent you:________________