Name:
______________________________________________________________________
Address:____________________________________________________________________
___________________________________________________________________________
E-Mail address: ______________________________________________________________
Telephone Number (Will not be
published):__________________________________________
Type of Vegetarian:
__Vegan (no meat, poultry, fish, dairy, eggs)
__Lacto-Ovo Vegetarian (no meat, poultry, fish)
__Not yet a vegetarian
__Other- please specify: ____________________________________________________
How long you have been vegan/vegetarian: _______________________________________
Languages Spoken: ________________________________________________________
Age: ___
Date of Birth: Day: ____ Month: ___________ Year: ____
Sex: __Male __Female
Religion (optional): _________________
Why you are (or want to become) a vegetarian/vegan: ______________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
School: _________________________________________________________________
Interests and hobbies: ______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Other information about yourself: ____________________________________________
_______________________________________________________________________
Type of pen-pal you are looking for: ___________________________________________
_______________________________________________________________________
Send this form, completed, to:
The Vegetarian Youth Pen-Pal Directory
The Vegetarian Youth Network
P.O. Box 1141
New Paltz, NY 12561 U.S.A.
If you would like to know how you can receive a copy of the pen-pal directory when it is completed, send a self-addressed stamped envelope (S.A.S.E.) or I.R.C. to the above address.