Founded 1950

WORLD PEN PALS
PO Box 337 · Saugerties NY 12477 · USA
845-246-7828 (8am - 8pm Eastern Time)

Founded 1950

INSTRUCTIONS: Print this page, then complete the application sections
which correspond to your age group. Then, please mail the form to us with your fee.

Information submitted to World Pen Pals is held in total confidence and is never distributed.

Application for Students Age 11 & Older

Asia	__ Male __ Female __ Either	Latin America	__ Male __ Female __ Either

Europe	__ Male __ Female __ Either

Africa	__ Male __ Female __ Either	Leave choice to us for our best selection if you have no strong preference	__ Male __ Female __ Either

Application for Students Age 9 or 10 (ONLY)

Continent choice by World Pen Pals. __M __F

ALL STUDENTS Complete the Following
(Please Print Neatly)
US Government FTC regulations require parental permission for all student applicants age 13 and under. Thank you for your cooperation.

Name: _____________________________ Age: ______ __M __F

Address: ___________________________________________________

City/Town: ____________________ State: ________ Zip: ________

Parent/Guardian Signature (for child UNDER age 13) ____________________________________

First Pen Pal is $3 (US):	$______
Additional pen pals are $2 each:	$______
Shipping & Handling:	+ $ 1.00
Amount Enclosed: Circle: Check, Cash, Money Order (no coins)	$______
The total number of pen pals ordered is:	______

Click Here - To Return to Welcome Page
Click Here - To Request a Student Pen Pal
Click Here - For Teachers to Request Classroom Pen Pals at Group Rate