Secret Penpals

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Male Application     P.O. Box 50582   Kalamazoo, MI   49005    U.S.A.

Name  ________________________  Address   ____________________________________

City  _________________________  State  ______  Zip Code  ______  Country  __________

E-mail address  _________________________________

PERSONAL AD:  You will have a (30) word personal ad published on this internet website for the next six months.  Your name/address and/or e-mail address will be included in your ad (but not counted as part of your 30 words).   Write your (30) word personal ad below or on a separate piece of paper.  The cost of this six month internet personal ad is $10.00 (check or money order made payable to Secret Penpals).   Mail in your ad and payment to:    Secret Penpals, P.O. Box 50582, Kalamazoo, MI  49005  U.S.A.

I verify with my signature that I am over 18 years of age and that the above information is accurate.  I also acknowledge that Secret Penpals is not responsible nor has any control of the actions of any contacts made through Secret Penpals.  Secret Penpals is not responsible for any transactions which may result nor do we verify if advertiser's data is accurate.  We reserve the right to edit ads for length and/or obscene content.   We do not publish telephone numbers or male photos.  

Signature  ___________________________________  Date   _______________________