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International Pen Friends
Printable Application Form

Please print out this form and return with your admission fee to:
International Pen Friends, Via Pozzi 13, 80075 Panza d'Ischia, Na - ITALIA

You can join International Penfriends individually or with a friend. Details of membership services are listed below. If you would like to join with a friend, please complete two application forms. Upon joining IPF you will be provided with a list of names and addresses of penfriends who have been individually matched according to your age group, hobbies and interests.Your name and address will also be passed on to 14 other members of the club during your 12 months membership period. Please allow approximately 4 - 6 weeks for the return of the penfriend list. PLEASE WRITE CLEARLY
Last Name: ................................  First Name: .......................................  Email Address: ..........................................
Address: ....................................................................................................................................................................
.................................................................................................................................................................................
City/Suburb: ........................................  State: .......... Zip/Postcode: ...........  Country: ........................................
Male / Female ........ Year of Birth: ......... Age this Year: ........ Married / Single ........
Religion:  .........................................................................  Occupation: .................................................................
Office Use Only: Membership Number: 8409 ........................................
Do you require male or female correspondents, or both? .................................
In what languages do you wish to correspond? ...........................................
What is your main interest or hobby? ....................................................
Have you ever been a member of our club? ..............................................
How or where did you learn about our club? .................................................
Underline whichever items are of general interest to you: art, animals, antiques, camping,chess, crafts, dancing, exchange holidays, fishing, frank discussion, gardening, history, literature, languages, music, philately, photography, religious discussion, reading, science, social work, sport, theatre,travel, writing, computer science.
Exchange of Articles: Cards, Stamps Souvenirs, Dolls, Tapes, Books, CDs.

Underline the countries in which you would like to have penfriends: (YOU MUST SELECT AT LEAST 8 COUNTRIES)
AFRICA: Algeria, Kenya, Uganda, Egypt, South Africa, Africa (General). THE AMERICAS: Argentina, Brazil, Canada, Caribbean, Columbia, Mexico, Peru, USA, South/Central America (General). AUSTRALASIA: Australia, India, Indonesia, Japan, Korea, Malaysia, New Zealand, Philippines, China, Singapore, Taiwan, Thailand, Asia (General), Pacific Islands. WEST EUROPE:Austria, Belgium, Denmark, France, Finland, Germany, Greece, Holland, Iceland, Ireland, Italy, Malta, Norway, Portugal, Spain, Sweden, Switzerland, England, Scotland, Wales, Other West European Countries.EAST EUROPE: Albania, Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Russia, Slovakia, Ukraine, Yugoslavia. MIDDLE EAST: Israel, Saudi Arabia, Gulf States, Middle East (General).

ADMISSION FEES
(Admission fees are quoted in Euro currency. US Dollars are also accepted for the equivalent amount.) [check the universal currency converter]

Tick service required EUR €   USD $ €   UK £
[ ] C1 Service - For one person aged 8-14 (A list of 10 names and addresses will be provided) € 16   $ 20   £ 13
[ ] C2 Service - For two people aged 8-14 (Two lists of 7 names and addresses will be provided) € 22   $ 30   £ 16
[ ] C3 Service - For one person aged 15-20 (A list of 14 names and addresses will be provided) € 20   $ 25   £ 15
[ ] C4 Service - For two people aged 15-20 (Two lists of 7 names and addresses will be provided) € 25   $ 35   £ 19
[ ] C5 Service - For one person aged 21-60 (A list of 14 names and addresses will be provided) € 24   $ 30   £ 18
[ ] C6 Service - For two people aged 21-60 (Two lists of 7 names and addresses will be provided) € 30   $ 40   £ 22
[ ] C7 Service - For one person over 60 (A list of 14 names and addresses will be provided) € 20   $ 25   £ 14
[ ] M1 Service - Subscription for 4 issues of IPF's Magazine 'People & Places' (4 YEARS) € 25   $ 30   £ 17
[ ] M2 Service - Subscription for one issue of IPF's Magazine 'People & Places' € 10   $ 15   £ 7

The admission fee should be paid by: Cash Notes or Personal Cheque or Bank Draft or International Postal Money Order (we cannot accept local US$, Canadian or British Money Orders), made payable to: International Pen Friends. You can also pay on the Internet using PayPal http://www.paypal.com/ to IPF's Account: ipf@ipfeurope.com . If you pay by cheque, please add +2 Euro to the total fee amount. You can also pay by International Reply Coupons (1 Euro=1 IRC so 22 Euro = 22 IRCS) or by Western Union, only if you pay by western union the payment has to be made to the order of Andrea D'Ambra.
International Pen Friends, Via Pozzi 13, 80075 Panza d'Ischia, NA - ITALIA

Web: www.ipfeurope.com