INFORMATION REQUEST FORM.

PLEASE PRINT, COMPLETE AND MAIL THIS FORM TO THE ADDRESS BELOW .YOU SHOULD USE THIS FORM ONLY IF YOU WANT TO:

• ·                                 ENROL INTO FUN SCHOOL.
• ·                                 REQUEST CATALOGUES
• ·                                 JOIN THE CLUB
• ·                                 CREATE A PENPAL PAGE WITH YOUR PROFILE
• ·                                 PARTICIPATE IN OUR MONTHLY QIUZ
• ·                                 REQUEST PROSPECTUS AND MORE INFORMATION OR HAVE BEEN DIRECTED TO THIS LINK WHEN YOU CLICK A LINK,PLEASE ENCLOSE A PASSPORT PHOTO AND MAKE SURE YOU COMPLETE THE FORM PROPERLY IN BLOCK LETTERS AND  OF INFORMATION YOU ARE REQUESTING FOR .

1. NAME__________________________________________________________________TITLE__________________
2. ADDRESS_____________________________________________________________________________________________________________________________________________________________________________________________________________
3. COUNTRY___________________________________________
4. PHONE______________________________________________
5. EMAIL_______________________________________________
6. FAX___________________________________________________
7. AGE_______________________________________
8. DATE OF BIRTH___________________________________________________
9. MARITAL STATUS____________________________________________
10. SEX___________________________________________
11. RELIGION______________________________________________
12. CITIZENSHIP__________________________________
13. LANGUAGES________________________________________________________
14. SOCIETIES YOU BELONG AND POSITIONS___________________________________________________________________________________________________________________________________
15. WHAT ARE YOU SUBSCRIBING FOR (WHAT YOU SENT THIS FORM FOR)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
16. HOW YOU HEAR OF US_________________________________________________
17. METHOD OF COMMUNICATION (PHONE OR POST)___________________________________________________
18. WHAT GIFT DO YOU EXPECT FROM US(BOOKS,MOVIE ETC)_______________________________________________________-
19. TELL US ABOUT YOUR SELF(FOR PENPALS OR MAY BE OPTIONAL FOR OTHERS [PLESE ATTACH ANOTHER LEAFLET}
20. OTHER INFO____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________DID YOUR PARENTS KNOW OF THIS PLEASE TELL THEM ,THERE NAMES________________________________________________________________

• WHEN WE RECEIVE YOUR FORM WE WILL CONTACT YOU,AFTER WHICH YOUR CARTALOGUES OR APPLICATIONS WILL BE PROCESSED AFTER 48HRS PLEASE MAIL COMPLETED FORM TO

GALAXY INTERNATIONAL CLUB  

P.O.Box 42

NKPOR

ANAMBRA STATE

NIGERIA.