CellPals Membership Application

Please PRINT this page and mail to Inmate.

P.O. Box 13278
Las Cruces, NM 88013

NOTE* CellPals! only charges a one time fee for these services (excluding the PowerBall). There are no yearly renewal fees. Once on CellPals one will remain on until removal is requested.

Please Include:

1. Your biography in 300 words or less. Please type
neatly on the back of this paper or on a separate sheet.

$ 9.99 CODE 01

Please PRINT

Your ID Number:


2. A picture of yourself if you wish for one to
accompany your site.

$ 5.00 CODE 02

Your first name:


3. Would you like a copy of your site? ______
$ 5.00 CODE 03

Your last name:


4. Would you like to be featured in our online
Photo Gallery?
$5.00 CODE 04

5. Would you like additional state listings? _______
$ 5.00 for 5 state's CODE 05
(Do not include your state of incarceration)
Where? Please list below:

Your Unit Address:




6. Would you like a counter on the inmate's web page? ________
$ 5.00 CODE 06

7. Would you like to purchase a PowerBall! for the website?_________
$ 39.95 CODE 07


Power Plan- Basic Package ________
** one registration
** one picture
**one copy sent to the inmate


The Power Plan Package- Deluxe ________
**one registration
**one PowerBall
**one picture
**one gallery placement
**one artwork, extra photo, or poetry
**10 state or country placements

$ 59.95

By using CellPals YOU agree to hold CellPals and its owner, and employees harmless from all costs, damages, liabilities, and attorney fees resulting from advertisements and results of this service. In no event will CellPals be responsible for any accidental, consequential, exemplary, or other damages arising from or relating to your uses of this service. CellPals urges you to use caution when using any interpersonal services on the internet. CellPals reserves the right to refuse service and remove from CellPals services at anytime anyone for any reason deemed appropriate by CellPals management. Abuse will not be tolerated. All sites are, and will remain, the property of CellPals. In good faith, and with your consent, you agree to these conditions.

Incarcerated Individual Please Sign Here

CellPals© 1999