Make up a Code Number for yourself.
This must be 3 letters and 6 numbers. Use your 3 initials and your
birthdate (mmddyy). |
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| Your Code Number: |
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| Your PayPal Email Address: |
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| Your First Name: |
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| Your Last Name: |
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| Your Zip Code: |
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| Your Relationship to Inmate: |
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Make up a Code Number for the Inmate. He/she will be your
sponsor.
This must be 3 letters and 6 numbers. Use his/her 3 initials and his/her
birthdate (mmddyy).
Inmate's Code Number: |
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| Inmates Gender: |
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Male
Female
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| Inmate's First Name: |
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| Inmate's Last Name: |
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| Inmate's DOC ID Number: |
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| Inmate's Birthday: |
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| Expected Release Date: |
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If inmate is not expected to be released, give e-mail address
where his/her donations can be sent.
Inmate's E-Mail Address: |
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| Inmate's Full Mailing Address: |
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| Tell us about the inmate in 500 words or less. For
instance, his life on the outside, his heritage, his
description (height, weight, hair and eye color), his family, children,
parents, pets, favorite activities, hopes for the future. Anything you
think people would enjoy reading or find interesting. Some of these people
will write to him/her. So you want to let them know what his interests
are and what kind of person he would like to write to him. If the inmate
would like to write his/her own description, he/she may mail it to us,
or you may e-mail it to us later. |
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Please send a photo to E-mail
Us
Use the inmate's code number in the subject
line.
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