PEN-PAL APPLICATION The information on this application will be used to post your request to the internet. Your application will be sent to several international pen-pal INTERNET web-sites. REMEMBER : ANYONE WITH AN INTERNET COMPUTER - WILL BE ABLE TO SEE THIS INFORMATION ! DO NOT include any information that you do not want the entire world to see ! You DO WANT people to write you --- say things that will be interesting to them. Name: Mr/Mrs________________________________________ Nationality:__________________ Name of Prison:_______________________________________ Building number:___________ Age:_____: (Birthday)?_____-____-____ : Hometown:__________________________________ Put your photo on the internet ?: Yes / No: Religion:___________________________ Family : Parents:___________________________________________________________________ Family : Brother/sister/wife/children:______________________________________________ Charges:( describe briefly ):_______________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Sentence years:__________ Number of Years already served:___________ Your interests/activities BEFORE coming to this prison:_____________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Your interests/activities AFTER coming to prison:___________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Your plans for your future:_________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Preferred age of your pen-pal (circle your choice) : minimum / maximum / any Preferred sex of your pen-pal (circle your choice) : male / female / any Prepaid-Postal return-coupons (circle your choice) : none / please / REQUIRED PLEASE LIST ME ON THESE WEB-SITES : ( please put a "x" for your choices ) phaseloop.com _____ : Fallen Angels____ : Jens.blechert____ : CellPals.com____ alex-gibson.com____ : Bangkwang.Net__X_ : Irene's List ____ Sign and date your application here:_______________________________ date: __________