PrisonPenPal4u — Inmate Profile Intake Form

Print this form, complete it by hand, and mail it with payment to the address below.

📬 Mail this completed form to:
Prison Pen Pal 4 U
2504 Garfield Ave SE
Suite 5
PMB 1004
Albuquerque
NM 87106

Inmate Information

First name:*

Last name:*

Nickname:

Inmate ID #:*

Date of birth:

Race/Ethnicity:

Gender: (circle: male / female / trans / non-binary / other)

Orientation: (optional)

Height:

Weight:

Facility & Mailing Address

This is the address mail to the inmate will be sent to. Write it EXACTLY as it should appear on an envelope.

Facility name:

Street/PO Box:

City:

State:

ZIP:

Sentence Information

Crime category:

Sentence length:

Expected release:

Parole eligibility:

About / Biography

Tell readers who this person is, what they enjoy, and what kind of correspondence they're hoping for. Minimum 50 characters. Keep it positive and avoid graphic content.

Interests & Personal Details

Hobbies:

Interests:

Favorite books:

Favorite music:

Religion:

Education:

Relationship:

Skills/work:

Looking For — check all that apply

Friendship Mentorship Romance Writing exchange Support/encouragement

Willing to Write — check all that apply

Men Women LGBTQ+ Overseas

Photo

Enclose ONE recent photo with this form (head-and-shoulders preferred). We'll scan it and return the original with your confirmation. Write the inmate's name and ID on the back.

Plan & Payment

Choose a plan

Basic — $65.00/year · 1 profile photo, full bio

Premium — $100.00/year · 5 photos, writings/poetry, featured eligibility

How to pay

By check: Make payable to Accesspoint Legal Support Services, mail with this form.

By card online: Visit https://prisonpenpal4u.com/user/register.php, create an account, and pay during signup.

If you'd prefer to pay by card without creating an account, include a note on this form and we'll send a one-time payment link.

By submitting: You confirm the inmate has consented to a public listing. You agree to our terms (https://prisonpenpal4u.com/terms.php) and privacy policy (https://prisonpenpal4u.com/privacy.php). Listings are reviewed before publication and renew annually.

Signature:

Date: