MAILING ADDRESS:
Name_________________________________________________
Nickname______________________________________________
DOC #_________________________________________________
Cell Location (if applicable)__________________________________
Facility Name___________________________________________
Address_______________________________________________
City___________________________________________________
State________________________ Zip______________________
Nickname______________________________________________
DOC #_________________________________________________
Cell Location (if applicable)__________________________________
Facility Name___________________________________________
Address_______________________________________________
City___________________________________________________
State________________________ Zip______________________
CHOOSE TYPE OF AD:
Subscription Length:
_____ 6 months + 3 months free!!!!
_____ 1 year + 3 months free!!!
_____ 2 years + 6 months free!!!
_____ 3 years + 1 year free!!!
Extras:
_____ # of extra photos @ $2.50/photo
_____# of extra words @ 1-50 words, $2.00
51-100 words, $3.50
101-200 words, $6.00
Enclose completed application, photos, SASE (if you want photos returned, )written
message (see below) and payment in the form of personal check, money order, bank
check or stamps to correct address. For address see home page or click here.
_____ 6 months + 3 months free!!!!
_____ 1 year + 3 months free!!!
_____ 2 years + 6 months free!!!
_____ 3 years + 1 year free!!!
Extras:
_____ # of extra photos @ $2.50/photo
_____# of extra words @ 1-50 words, $2.00
51-100 words, $3.50
101-200 words, $6.00
Enclose completed application, photos, SASE (if you want photos returned, )written
message (see below) and payment in the form of personal check, money order, bank
check or stamps to correct address. For address see home page or click here.
DESCRITPTION:
Offenses______________________________________________
______________________________________________
______________________________________________
Date Incarcerated______________________________________
Next Parole Date_______________________________________
Latest Release Date____________________________________
On Death Row? Yes___________ No_____________
______________________________________________
______________________________________________
Date Incarcerated______________________________________
Next Parole Date_______________________________________
Latest Release Date____________________________________
On Death Row? Yes___________ No_____________
OTHER PERSONAL INFORMATION:
Interests & Hobbies___________________________________
_____________________________________________
_____________________________________________
Pet Peeves___________________________________________
_____________________________________________
Sexual Orientation: Straight___________ Gay___________
Bi-sexual_________ Transgendered_________ Transvestite___________
Whom Do You Seek To Write?:
Men_______ Women_______ Both_________
What Do You Seek?: Friendship________ Romance_________
Legal Help________ Donations_________
Are You Willing To Write To People Overseas?
(postage will cost more)
Yes________ No________
_____________________________________________
_____________________________________________
Pet Peeves___________________________________________
_____________________________________________
Sexual Orientation: Straight___________ Gay___________
Bi-sexual_________ Transgendered_________ Transvestite___________
Whom Do You Seek To Write?:
Men_______ Women_______ Both_________
What Do You Seek?: Friendship________ Romance_________
Legal Help________ Donations_________
Are You Willing To Write To People Overseas?
(postage will cost more)
Yes________ No________
D.O.B.____________________________
Height______________________ Weight___________________
Eye Color_________________ Hair Color__________________
Race_________________________________________________
Religion______________________________________________
Zodiac Sign___________________________________________
Education_____________________________________________
Marital Status__________________________________________
# of Kids___________________
Height______________________ Weight___________________
Eye Color_________________ Hair Color__________________
Race_________________________________________________
Religion______________________________________________
Zodiac Sign___________________________________________
Education_____________________________________________
Marital Status__________________________________________
# of Kids___________________
OFFENDER INFORMATION:
| On a separate piece of paper write a message - up to 300 words - for your ad. Write about yourself, what you are looking for, your goals and dreams and anything else you like to say to your potential pen pals. |