texas death row pen pal application

Transcription

texas death row pen pal application
TEXAS DEATH ROW
PEN PAL APPLICATION
European Association for Human Rights - 423 rue robert salé 62110 Hénin Beaumont- France
www.humanrights-association.org - [email protected] +33669481380
Name:
_____________________________________________
TDCJ – Number :
_____________________________________________
Date of Birth :
_____________________________________________
Please place the following ad on your website :
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I attach a photo for my ad
Please send the attached photo back
 Yes  No
 Yes  No
Please send this form to:
European Association for Human Rights, 423 rue Robert salé, 62110 Hénin-Beaumont, France
_____________________
Date
________________________________________
Signature
Caisse d'épargne ∙ Code Banque 16275 ∙ Guichet 00626 ∙ Compte 08000139866 ∙ Clé 29
IBAN FR7616275006260800013986629 ∙ BIC CEPAFRPP627
PayPal [email protected]

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