My Little Mailbox
Printable Order Form

Please print clearly and be sure to check your spelling to prevent mistakes. 
Feel free to make copies for multiple orders or for friends and family.  Thank you for your order!

Recipient's Name (first & last)

Nickname

Age

Date of Birth

Gender

Grade

Street Address

City State Zip

Sibling names, age and gender

Two friend names, age and gender

Pet names and type of pet

Special awards or achievements child has received this year

Chores

Favorite toy or activity

Person ordering letter

Name (first & last)

Relationship to recipient

Street Address

City, State, Zip

Phone

Email address
* This will be used to communicate with you about the order, if needed.

Item Ordered

Letter Character
* Please choose from characters on website.

Notes or special instructions

For Military Mailpacks-

Service Members Name (first & last)

Relationship to recipient

What does child call Service Member?

With whom is child staying while you are deployed?
(relation; such as Mom, Dad, Grandma, Aunt, etc.)

Rank

Branch

Duty Station

Command

When are you expected home?

If you need to order for multiple children, please fill out a separate order form for each child.
Please select, copy and paste into an email or print completed order form and mail with check or money order to:

My Little Mailbox
c/o Kathleen Lindsey
1115 Woodhaven Drive
Mount Holly NC 28120-2429

  Any submitted information is kept strictly confidential and is used only to create your child's personal letter.