Application form

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Please fill out our application form in order to be added to our penpal database.

In application of the law n° 78-17 of January 6th, 1978 « Computer science, data files and freedom », members have at all times the right of access to, modification, rectification and suppression of their personal datas. Each member can carry out this right from his/her member area.

Fields marked with a are optional.

Step 1 (out of 4) - Personal details
• First name :
• Last name :
• City :
• State or province :
• Country (sorted by continent) :	--- Your country --- Andorra Austria Bahamas Belgium Bulgaria Croatia Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Island Italy Latvia Lithuania Luxembourg Macedonia Netherlands Norway Poland Portugal Romania Russia Slovakia Slovenia Spain Sweden Switzerland Turkey Ukraine United Kingdom Algeria Angola Benin Burkina Faso Burundi Cameroon Central African Rep. Chad Demo. Rep. of Congo Egypt Ethiopia Gabon Ghana Guinea Ivory Coast Kenya Liberia Libya Madagascar Malta Mauritania Morocco Niger Nigeria Republic of Mauritius Republic of the Congo Rwanda Senegal Seychelles South Africa Tanzania The Gambia Togo Tunisia Uganda Zimbabwe Argentina Brazil Canada Chile Colombia Cuba Haïti Jamaica Mexico Peru Trinidad & Tobago United States Bhutan China Hong Kong India Indonesia Iran Israel Japan Jordan Lebanon Malaysia Nepal North Korea Pakistan Philippines Saudi Arabia Singapore South Korea Sri Lanka Syria Taiwan Thailand Tibet Vietnam Australia New Caledonia New-Zealand Your country is not in the list ? Contact us !
• E-mail address : ! You may encounter trouble activating your account if using Hotmail, Neuf.fr, Free or Yahoo address !	Note : Penpal Tradition offers an internal private messaging system and other members CANNOT see the e-mail address you enter here. This address will remain protected and undislosed.
• Birthdate :	-- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ---------- January February March April May June July August September October November December ---- 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908
• Gender :	Male Female