Choose the Basic Webpage for $49 and get your first-contact emails all year long at no extra charge! Or, choose the Deluxe Webpage for $79 and get all your emails from everyone, including friends and family, all year long at no extra charge! Ready to go online? Sign up now! Fill out the section below and return with payment, statement, and photo(s) to INMATE CONNECTIONS LLC 465 NE 181st #308 Portland, OR 97230-6660. Make checks & money orders payable to “Carolyn Whaley” or “Conpals.” Print your name & ID number on the front of the check or money order. Type or neatly print your statement on a separate sheet of paper. Not all information asked for below is required, but it is recommended that you provide it as people usually want to know. *Required information *PAYMENT METHOD (check one) Check//MO___ PayPal____ Visa____ MC____ AMEX____ Discover____ Stamps____ *FIRST NAME ____________________________ *LAST NAME________________________________ *PRISONER I.D.#____________________ *NAME AS YOU WOULD LIKE IT TO APPEAR __________________________________________________________________________________ *ADDRESS________________________________________________________________________________________________________________ *TYPE OF FACILITY YOU ARE IN (check one) State_____ Federal_____ *BIRTH DATE______________ INCARCERATED SINCE______________ RELEASE DATE______________ CONVICTED OF____________________________________________________________________________________________________________ HOME TOWN ____________________________________ RACE______________________________ RELIGION _________________________ HEIGHT________ WEIGHT_______ DO YOU WANT TO WRITE TO (check one) Women Only____ Men Only____ Anyone____ SEXUAL ORIENTATION (check one) Straight____ Gay____ Bisexual____ OPEN TO GAY/BISEXUAL CONTACT OF YOUR GENDER (check one) Yes____ No____ WILL WRITE OVERSEAS (check one) Yes____ No____ SEEKING (check all that apply) Romance____ Friendship____ Legal Help____ Donations____ Other (specify)__________________________ IF YOU ARE MALE, ARE YOU (check all that apply) Serving a Life Sentence____ On Death Row____ Gay/Bisexual____ *MAIL PREFERENCE (check one) “Write directly, no emails” if your facility does not allow 3rd party mail. Inmates in FL and NY cannot receive 3rd party mail. Write directly, no emails____ Write directly AND emails____ Write directly AND emails via Corrlinks____ (Corrlinks is currently available only to Federal prisoners. The email to add for Corrlinks is info@convictpenpals.com) *PURPOSE OF WEBPAGE (check one) Personal____ Legal____ Art & Business____ *TYPE OF WEBPAGE (check one) If you choose "with Brochure" option we will mail you the brochure, "How To Write A Better Pen Pal Ad," upon receipt of completed application and payment. You may send your statement after you have had a chance to review the brochure. Brochure only available with purchase of web page and cannot be purchased separately. Basic Webpage ($49)____ Basic WebPage with Brochure ($59)____ Deluxe Webpage ($79) ____ Deluxe WebPage with Brochure ($89) ____ REFERRED BY ___________________________________________________________ I.D. #__________________________________________ WEBPAGE EXTRAS Front Page Placement 4 weeks ($20)____ 12 weeks ($50)____ 1 year ($150)____ Your photo on the first page visitors see after entering site Pen Pal Express 4 weeks ($100)____ 12 weeks ($250)____ 1 year ($750)____ Your photo on left-hand side of every page on site Landing Page Placement 4 weeks ($300)____ 12 weeks ($750)____ 1 year ($2,250)____ Your photo on the home page Hit Counter ($20 per year)____ Hit counter on your page so you know how many visits your page has received URL Submission ($20 per year per URL)____ Hand submission of your URL to Google, Yahoo and MSN Language Translation ($15 per language)____ Auto-translation of your page into any major language so your page is in English plus other language(s) Linked Photo Rotation ($50)____ Rotates two photos of you in the directories. Each additional photo added to rotation is $25. Blog____($25 to set up your blog page and does not include cost of text and photos) An online journal of your thoughts, opinions, news & reviews. Extra Words____ ($10 per 50 words) Extra Photo(s)____ ($15 per photo) Personal Email Address ($99/year)____ Your own personal email address (you@convictpenpals.com). Your family and friends can contact you without having to go to your webpage. Email messages downloaded and mailed to you each week. SOCIAL NETWORKING Make your social networks and make them work! Available only for prisoners with webpages on InmateConnections.com! ? I WANT INMATECONNECTIONS.COM TO CREATE THESE ACCOUNTS FOR ME Check Social Network accounts desired. Print neatly MySpace____ Facebook____ Twitter____ *Other__________________________ $35 for first account and then $20 for each additional account. (For example, one social network account $35, two social network accounts $55, three social network accounts $75, etc). All accounts created will initially have, where possible, the same 1 or 2 photos and text added to them that are on your InmateConnections.com webpage with reciprocal links with your webpage(s). You will receive notification of your account(s) with URLs. *Must be major social networking site approved of by InmateConnections.com and not a direct competitor of InmateConnections.com. ? I WANT INMATECONNECTIONS.COM TO MONITOR THESE ACCOUNTS FOR ME MySpace____ Facebook____ $99/year per social network account (Myspace or Facebook). It must be an account that InmateConnections.com has set up and not set up by someone else. It includes regular checking of the account for friend adds; free updates of the content whenever you pay to change the content on your webpage; and free status reports upon request. ? I ALREADY HAVE THESE ACCOUNTS SET UP AND I WANT TO LINK TO THEM FROM MY INMATECONNECTIONS.COM WEBPAGE(S) MySpace ____ URL or address (must be exact) ______________________________________ Facebook ____ URL or address (must be exact) ______________________________________ Twitter ____ URL or address (must be exact) ______________________________________ *Other ____ URL or address (must be exact) ______________________________________ No cost for links to already-existing social network sites. *Must be major social networking site approved of by InmateConnections.com and not a direct competitor of InmateConnections.com. LEGAL NOTICE There are no guarantees of responses and no refunds will be provided. If you send more money than is needed, we will not refund the overage; however, you will have credit. There is a $20 fee for all nonsufficient funds checks or bounced checks--your web page will be suspended until we receive the full amount for your hook-up plus $20. Your webpage will be published using the materials that are originally submitted by you and/or any third parties on your behalf--there is a charge for any subsequent changes to your hookup barring any mistakes on our part or changes of address. If at the time of initial publication we have received more images or words than your payment allows for and in the absence of instructions from you about which materials to publish, we reserve the right to select which images and/or words to publish and there will be a charge for the publication of the remainder and for any changes to your ad that you desire. If there is a discrepancy between the information you provide us and the information contained in official government sources, including but not limited to department of corrections websites and the Bureau of Prisons website, we reserve the right to publish the information about you that is contained in the official government sources. It is your responsibility to know the rules and regulations of your facility and to follow them. We will not be held responsible for any damages or harm, disciplinary or otherwise that you incur as a result of placing a pen pal ad with our company. If we find that you are giving or selling your pen pal contacts to other prisoners we will discontinue your ad from our site without refund or notice--if you know of another prisoner who wants to receive mail through our service they must purchase their own ad. Threats, profanities, or abusiveness of any kind directed towards our staff will result in termination from our site without notice or refund. Supplying false or misleading information is grounds for the immediate and permanent removal of your ad from our website without notice or refund. We will not publish material that is, or that promotes behavior that is, unlawful, harmful, threatening, abusive, sexually explicit, vulgar, obscene, hateful, or racially, ethnically or otherwise objectionable, and we reserve the right to determine what constitutes the foregoing. We reserve the right to refuse service to anyone. We reserve the right at any time, for any reason, to edit, remove, or refuse, in whole or in part, without notice and without refund, any material submitted. Material submitted may be used for our sole benefit in our promotion and advertising. CONPALS and INMATE CONNECTIONS are trademarks registered with the United States Patent and Trademark Office.