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Please print this questionnaire and fill it out. Mail it along with your check, cash or money order in the amount of $6.50 per letter to Elf Patty or Elf John Fitzpatrick, 2827 Greenridge Court, Mexico, MO 65265. (Please be sure to make your check or money order payable to John or Patty Fitzpatrick). For faster service use the Pay Pal. Child's Name: ____________________________________________________________________
Child's mailing address: ___________________________________________________________ City: ______________________ State: ___________ Zip Code: ________
Child's Age: ____________________ Child's Birth Date: _________________________
School: _____________________ Grade: __________ Teacher: ________________________
Names of siblings: ________________________________________________________________
Names of up to 3 friends: __________________ ___________________ ___________________
Pet type(s) and name(s): __________________________________________________________
Favorite toy (already owned): ______________________________________________________
"Something special" child sleeps with: ______________________________________________
Do you want to be mentioned in the letter? yes no If yes, what does child call you?___________________________
Does child leave Santa a treat? yes no If yes, what? _______________________________ ________________________________________________________________________________
Do you want anything mentioned about Sunday School, Primary, church classes, etc.? yes no If yes, in your words, what do you want said? _________________________________________________________________________________ _________________________________________________________________________________
Is there anything else special you would like for Santa to say? If so, please write that special something in your own words and Santa will do his best to include it in the letter. _________________________________________________________________________________ _________________________________________________________________________________ Do you want this letter mailed from Santa Claus and have a special Santa Claus postmark or mailed locally? Please circle one Santa Claus Local Postmark Doesn't really matter
***IMPORTANT*** For those wanting the Santa Claus postmark orders MUST be received no later than December 9th***In order to insure delivery before Christmas ALL orders must be received no later than December 15th. Orders received after that date will be returned. Your name: ____________________________ Your Address:______________________________ City, State, Zip Code: ______________________________________________________________ Phone: __________________(used only if I have a question on your order) Email Address: ___________________________________________________________________ Please be assured that all information is held with the utmost confidentiality and will NEVER be given out without your permission.
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