CellPals! Order Form |
When you send in this form please remember to include: · This
Form |
Please PRINT this page and mail, with payment and materials to the location nearest you!
Payment
methods: Personal Check, Money Order or |
Please be sure to send this application in it's entirety. Thank you.
PLEASE PRINT NEATLY (OR TYPE) PRISONER'S INFORMATION
Title: (Please circle one.) Mr. | Mrs.
| Ms. |
Last Name:___________________________________________
First Name:___________________________________________
Department of Corrections Number:________________________
Name of correctional facility:______________________________
Street Address:________________________________________
____________________________________________________
City:______________State:___________Zip Code:____________
Sex: Male | Female
| Transgender
Race: African American |Caucasian
| Hispanic
| Native American
| other:
__________________________________________________
Religion: (Please circle one) Agnostic |
Atheist | Catholic
| Hindu |
Jewish | Muslim
| Protestant
| other:
__________________________________________________
Release or next available parole date:______________________
Date Of Birth:________________________________________
Age:_______________________________________________
Sexual Orientation (Please circle one): Bisexual | Straight | Gay | Lesbian
Optional
Is prisoner on Death Row? yes | no
Is prisoner serving a life sentence? yes |
no
Is prisoner seeking donations? yes | no
Is prisoner enclosing original poetry in your ad? yes
| no
Is prisoner enclosing original art work to the ad? yes
| no
General Information
1. Anyone who places a false photo will be removed from the site.
2.. Address changes are FREE!
3. CellPals! does not charge it’s visitors for a prisoner's address. Addresses
are posted on our website and is given freely to all that view a prisoner's
page.
Price List - Please check all that apply to your order
❐300 word annual ad with one photo OR one original piece of artwork: $11.95
❐ 300 additional words: $7.99
❐ 1 additional photo/artwork: $2.99
❐ Renewal of ad (changes to biography can be made, when renewing for no
additional fee): $9.99
❐ Ad change: $5.99 (to change the wording of your biography)
❐ Additional ad printouts: $2.99 each
❐ Photo/Art Gallery: $2.99 for each placement
❐ Extra States/Countries: $1.00 each (Don’t include your state of incarceration
- that’s free!)
❐ Counter - this gives you a count of how many people have viewed your ad! :
$3.99
❐ Add A Tune: $5.99 ❐Music only
or Music Video ❐ $7.99
❐ Copy of site: $2.99
❐ Request for Book/Magazine Donations: $5.00 , please limit requests to 20.
❐ Poems: $1.00 each
❐Glitter Graphics $9.99 each
❐Thumbnail Photo on state page by name: $2.99
❐ Search Engine Submission: $12.95 (Lists you on about hundreds of additional sites
other than CellPals.com)
❐ Email Campaign: $7.95 (Your ad is delivered to the inbox of 100's of CellPals
members who are on our mailing list!)
❐ Email Service: $29.95 for 6 months - $50.00 for 12 months
❐ One Week Photo Feature: $7.99 per week (Your name featured on the HOMEPAGE of
CellPals.com, with a direct link to the prisoner's website for one week)
❐ **POWERBALL**: $19.95 (Your name featured on the HOMEPAGE of CellPals.com,
with a direct link to the prisoner's website for one month)
❐ Copy Services: Photos**4x6, 5x7: $3.00 ea**8x10 $4.00 ea. Papers: $. 25 cents
per side + postage to return or mail.
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❐Sports Logos: $1.99 per logo![]()
Name Accents: How the prisoner's name will appear on our listings!
❐ Bold: $1.50
❐ Enlarged: $1.50
❐ Italicized: $1.50
❐ Color $1.50 Pick one: Red ❐ Green ❐ Blue ❐ Purple ❐
etc...._______________
❐ Smiley Face Graphic: $2.00
❐ Heart Graphic: $2.00
❐ Arrow Graphic: $2.00
❐ Chick Flicks $1.50 per picture, whether singles or multiples on one page.![]()
Packages: By checking the items above you may add additional items to
your package in order to create a site, which best fits your needs.
❐ CellPals! Complete Package: $100.00
300 word biography, 2 year enrollment, PowerBall x2, 1 counter, 2 pictures, 1
photo or art gallery, 20 additional state/country placements, 1 copy of site, Book/magazine Request Feature,
Email Service (for six months), Email Campaign, thumbnail photo on state page, Glitter Graphics X
2, Add A Tune, Music Video, One photo copy, one sports logo or extra photo copy.
. Get maximum exposure with the Complete Package!
❐ CellPals! Power Plan Package: $50.00
300 word biography, 2 year enrollment, 1 PowerBall, 1 counter, 1 picture, 1
Gallery placement, 1 artwork or extra photo, 5 additional state/country
placement, 1 copy of site, Email Campaign, Glitter Graphics X 1 and one photo
copy of any size, one sports logo or extra photo copy.
❐CellPals! Intermediate Package : $19.95
Includes: 1 Year Registration, 300 word biography, 1 picture or artwork, 1 copy
of site, two weeks PowerBall
❐ CellPals! Starter Package: $11.95
300 word biography, 1 year registration, 1 picture or artwork, 1 copy of site,
"thumbnail photo" on state page, by name.
❐ Five-dollar Ad: $5.00
Send in an ad that is up to 50 words with a picture and we’ll post the prisoner
on the main page of his/her state of incarceration. The prisoner's address does
not take away from the 50 word count. This option will not give a personalized
website, but will place the prisoner on a page that also includes others who
have posted $5.00 ads. * No other options on our price list are available with
this ad.
Total enclosed: $ _________________
Thank you for your membership. Your ad will be processed in the order in which
it was received. Due to the large amount of orders we are receiving at this time
ads are usually posted within four weeks of receipt, however, please allow about
6 weeks for completion of processing. Prisoner's photo will be returned.
Please mail this application and payment to:
CellPals!
P.O. Box 3326
Truth or Consequences, NM 87901
We reserve the right to alter all ads for typos and/or inappropriate content.
Important! WOULD YOU LIKE FOR US,
AFTER WE RECEIVE THIS ORDER, TO NOTIFY THE INMATE THAT HE/SHE NOW
HAS AN ACCOUNT WITH US AND THAT IT IS OK AT THIS TIME TO SEND IN
THEIR BIOGRAPHY, PICTURES/ART, ETC, ON THE STAMPED-PAID ORDER
FORM THAT WE WILL ENCLOSE?
__________________________ WRITE YES OR NO
and include this section with order
(When we send the order form to the inmate we will outline what
has been purchased by you, for the inmate, and what he/she needs
to send in)
If you don't want us to send in an order form we will assume that
you have informed the inmate that the site has been purchased and
have advised the inmate of what materials to send us. We will
simply hold this order, place it in waiting status, and wait for
the inmate to send in the required materials. Once we receive the
information from the inmate we will complete the order. Once
completed both you, and the prisoner, will receive completion
confirmation. Thank you!