Print out and complete this Order Form.  If you do not have a printer, just record this information on a separate piece of paper. 

NAME:________________________________________  DATE:_______________

MAILING ADDRESS: _________________________________________________

___________________________________________________________________

CITY: __________________ STATE: ____ ZIP: __________ COUNTRY:_______

E-MAIL ADDRESS: __________________________________________________

• Purchase Addresses

       Order a penpal's postal address by listing her Code ID# (i.e. MI-P-J400) below:

ID#____________  ID# ____________ (FREE)  ID#  ____________ (FREE)

First Address costs $10.00.  The 2nd and 3rd Addresses are FREE!

Disclaimer

My signature below acknowledges that I am over 18 years of age:

________________________________________

Mail this completed form along with your American $10.00 check or money order to:

Secret Penpals

P.O. Box 50582

Kalamazoo, MI   49005-0582   U.S.A.

Once we receive your order and $10.00 payment, we'll e-mail your postal addresses to you.  If you don't have an e-mail address, we will postal mail your order to you.

If you have any questions, our e-mail address is:  arphelps@mindspring.com