Order Form To 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 (2) two loose 37 cent stamps for each FREE Pin
          Extra stamps are always appreciated

Mail to:
Little Pin
17140 Ecorse Road
Allen Park, MI 48101

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