Pen Pal's Form

In order to put you on my pen pals form you have to fill in the form.

Some thing about your self:

        First name:
        Last Name:
        Birthday:
        Age:
        What Is Your Sex Male     Female
        City:
        State/Province:

        Country you were born in:
        Country you are in now:
        First language:
        Second language:
        E-mail address:
        Web page (http):
        Brief description about you?:

        Say some thing in Arabic:


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        e-mail: mohammed@connection.com