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 : __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 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]