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
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. The inmate ID number and this facility address are shown publicly on the profile so writers can send letters.

Facility name:

Street/PO Box:

City:

State:

ZIP:

Sentence Information (optional)

You do not have to fill this in. Anything written here stays private (only our review team sees it) unless you check the matching box to show it on the public profile.

Crime category:

Sentence length:

Expected release:

Parole eligibility:

Show the crime category on the public profile Show the sentence length, release date and parole date on the public profile

Search engines

Ask Google and other search engines not to list this profile

The profile stays on this website and can still be found by browsing or searching here. This is a request to search engines, not a guarantee.

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: