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 sections which apply to your students and/or group. Then, please mail the form to us with your fee.

Application Form for Teachers and Group Leaders (for Grades 5 and up): Classroom group rates for ten (10) or more names is $1.50 each.

I request: ___ male ___ female (number) Africa ___ male ___ female (number) Asia ___ male ___ female (number) Europe ___ male ___ female (number) Latin America Note: Grade 5: our choice from around the world. (Lower Grades Not Recommended) Grade Level of your students: ______________________________________ [Please Submit Separate Order for Each Grade]	Teacher's Name: _______________________________________ School: _______________________________________  School Address: _______________________________________  City: _______________________________________ State: ______   Zip:________  If Using Home Address, Clearly Indicate
Payment by one check or school voucher to "World Pen Pals" and mail to PO Box 337, Saugerties, NY 12477. Previous customers ONLY may request to be billed ______ (For orders over $30).

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