 |
 |
 |
 |
 |
  |













|
If you wish to pay via mail, complete our paper membership form and remit payment via check or money order with your form.
Fill out the Form Below to Register
Note: Upon completion of our online membership form, you will be directed to our secure PayPal website. to remit your credit card payment. To pay via check, money order or purchase order, please complete our paper membership form, enclose it with your payment and mail them to us at Sincerely Yours Pen Pals, Inc., P.O. box 2940, Philadelphia, PA 19141. Click here to print out a copy of our paper membership form.
You must be 18 years of age or older to complete this form.
Only classroom teachers or home-school parents may submit membership forms and enroll their children in Sincerely Yours Pen Pals.
If you are a student interested in our program, please forward our information to your teacher. If you are a parent of a child enrolled in a traditional classroom setting, please forward our information to your child's teacher and strongly encourage him/her to enroll. This policy is in place to ensure optimal safety of our children.
|
| *Home School: |
|
| *What school year is this membership for? |
|
| *Number of Students: |
|
| |
In the fields below, please enter the number of children you have in each grade so that we may pair them with a child of the same age/grade level. |
| *Number of Students per Grade Level: |
|
|
|
| *Grade Level: |
|
*Teacher Name:
|
Salutation:
First:
Last:
|
| *Name of School: |
|
| *School Street Address: |
|
| *City: |
|
| *State: |
|
| *Zip: |
(enter "00000" if none) |
| *Your Continent: |
|
| *Your Country: |
|
| *Time Zone: |
|
| Classroom Room Number (Optional): |
|
|
|
|