LittlePin OrderForm Print

Please fill in the following information. Once the information is filled in, print and mail with your extra stamps to the address below.

NAME:

ADDRESS:

CITY:

STATE:

ZIP

E-MAIL

Do you have a web site? Yes No

If Yes, what is your web site URL

Are you getting the Little Pin for: YOU A FRIEND

Little Pin/Gold Window Decal

Free Little Pin: How many?

Free Gold Car Decal: How many?

Please include 3 first class stamps for EVERY free Little Pin or Gold Window Decal ordered

GIVEN FREE FOR AS LONG AS I CAN
Any donations will be greatly appreciated
Your help will help me help others to spread God's love for you.
How did you hear about my Little Pin?

Please include (3) loose First Class stamps for each FREE Pin
Extra stamps are always appreciated

Mail to:
Little Pin
8940 Mortenview
Taylor Mi 48180