My Heart's in Bosnia Pal Sign-Up Form

My Heart's In Bosnia

Sign Up to Be a Pen or Phone Pal!

If you'd like to be listed in our Pen Pal or Phone Pal Directories, please fill out this form. You need to fill out the form only once! When you submit the form, you will be given a password. Please write it down because you will need it to change or re move your Directory entry.

Last Name: , First Name:

Please fill out this section of the form if you wish to be included in our Postal Pen Pal Directory.

Address:

City: , State: , Zip: +

For addresses outside the U.S., give Province, State, or Region: and Country:

Please give us your email address if you wish to be included in our Email Pen Pals Directory.

Email address:

Please fill out this section of the form if you wish to be included in our Phone Pal Directory.

Home Phone Number:
Office Phone Number:
Fax Number:

Which category does your loved one fit into? Choose an option from the pop-up menu:

Tell us about your loved one in Bosnia. What are your concerns? What would you like to talk to a Pen or Phone pal about? You can also tell us about yourself. This information will appear in the Directories you've selected above:

This site is maintained by Kali Tal. Please send comments, corrections, and updates to her at Kali.Tal@yale.edu.

Last revised: 4/8/1996