To place your order for Santa Letters, Elf Kathy would like you to complete the attached form. All information is confidential. You can mail the completed form together with your payment of $9.95 (check or money orders) per letter made payable to Kathy Smith, 16301 Ten Mile Road, Eastpointe, Michigan, 48021. If you wish to send your information by email, please provide all information and email it to ElfKathy@att.net. Please place your order by December 10th to assure delivery in time for Christmas Eve. Santa Letters will not be mailed after December 15th unless special arrangements are requested. PLEASE PRINT CAREFULLY.

Recipient's Name: ____________________ M____F____

Age:_____ Birthday: _______________

Mailing Address: ____________________________________________________

Brothers and Sisters Names: _________________________________________

Best Friend's Name: _________________________________________________

Other Friends: ______________________________________________________

Pet Names (and type of pet): ________________________________________

One gift child will receive from Santa: _____________________________

One item that will be in child's stocking: __________________________

Awards and Achievements this year: __________________________________

Chores Performed: ___________________________________________________

Favorite Activity or Toy: ___________________________________________

Snack Child Leaves for Santa: _______________________________________

One Christmas Tradition: ____________________________________________

Name: _____________________________________________________________

Address: ____________________________________________________________

Telephone No: _______________________________________________________

Relationship to Child: ______________________________________________

Email address for order confirmation: _______________________________