Distress Call Penpal Service Application Form

Name:

Gender:

Male
Female


Birthdate (Month/Day/Year):

E-Mail Address:

Preferred language for pen pal E-mail:

English
Chinese


Describe yourself and your interests, in the THIRD person, please (Use "he/she/it" instead of "I"); please do NOT use all capital letters.

If you have trouble, please E-mail Jacob Jou. Thank you!


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