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PERSONALIZED TOOTH FAIRY LETTER ORDER FORM

To receive a personalized letter from the Tooth Fairy AND a tooth pouch --
Print and complete this form. Then mail it with payment of $8 (US)to:
Tooth Fairy Tales, P.O. Box 26, Stevenson, MD 21153

(Please add an additional $3.50 for any check or money order written on a bank outside the U.S.)
Make check or money order payable to: Tooth Fairy Tales

Name___________________________________________________________

Address________________________________________________________

City__________________________________State______Zip___________

Country________________________________________________________

Child's Information

Name___________________________________________________________

Address(if different from above)________________________________________

City__________________________________State______Zip___________

Country________________________________________________________

Age_______________Grade__________________________

School_________________________________________________________

Teacher's Name__________________________________________________

Favorite/Best Subject__________________________________________________

Close Friend's Name____________________________________________________

2nd Close Friend's Name_________________________________________________

Pet's Name(s)_________________________________________________________

Favorite Activity_________________________________________________________

Favorite Toy/Game________________________________________________________

Special Chore or Responsibility_____________________________________________

Family Members
Brothers____________________________________________________________________

Sisters_____________________________________________________________________

Special Grandparents_________________________________________________________

Special Aunts, Uncles, Cousins,etc._____________________________________________

Other Information You Want Us To Know About___________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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