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Name: ____________________________________________
Address: _________________________________________
__________________________________________________
City: ___________________ State: _____ Zip: _________
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QCS9
If there are questions with this order:
please indicate:
Phone # _______________
Fax # _________________
E-mail ________________ |
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____ Add my name and address added to the Student Letter Exchange database: Age: ____ Gender (circle one) BOY GIRL
Indicate below the County (or State), Age and Gender for each Pen Pal you'd like.
If you want more than one pen pal from the same
Country, Age or Gender, show that in the Quantity column.
| COUNTRY/STATE | AGE |
| GENDER | QUANTITY |
|---|
| or write in "any Country" or "any State" |
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| b=boy
g=girl |
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| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
| ________________________ | _____ |
| _____ | _____ |
|---|
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For ages under 11, we recommend selecting Pen Pals from
English speaking countries.
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| TOTAL NAMES* ______ X $1.25 | = | ________ |
| SHIPPING & HANDLING** | = | $2.00 |
| ORDER TOTAL | = | ________ |
*Minimum order- 4 names ($1.25 each) + Shipping & Handling
** Add $3.50 for SUPER FAST SERVICE. If order is being returned to an address outside of the US
add $1.00 for Canada, add $2.00 for all other countries. Payment must be in US currency, a
Postal Money Order or a check in US currency drawn on a US bank.
When substitutes are necessary, we usually select by geographic area. If you prefer substitutes
based on language, please check here: _____
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