Adult Pen Pal Registration Form

Adult Pen Pal Registration Form.

If you are over the age of 21 you may participate in the Student Letter Exchange Adult Pen Pal Program. The way this program works is that we periodically publish a directory listing the age, gender, names and addresses of the people who have recently chosen to be registered. If you would like to be registered in the Student Letter Exchange Adult Pen Pal Directory, please fill out the form below. Once you have submitted it, you are agreeing to have your contact information published and distributed to anyone who orders the Directory. Thank you for your interest in our program. Once you have filled out all of the required information, please press the 'submit' button on the bottom of the page.

Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
In order to register, you must fill in the Street Address, City, State/Province/Region, Zip/Postal Code and Country. If Zip/Postal Code is unavailable or not required, please enter "00000" in the Zip/Postal Code field.
Email
Please enter your eomplete e-mail address above.
Age*
Please enter your age above. In order to be listed on the Adult Directly you must be older than 22.
Gender*
Please indicate if you are a Female or Male.