Step 2 - Your Information

Please complete form carefully.

Name:
Address
City
State	Select from this List Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ------
Zip
Phone
State of Incarceration	Select from this List Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ------

Write a short introductory paragraph.

You might want to include some of the following information:

• How long you have been accepting calls from the incarcerated individual.
• How difficult it is to visit, because of distance, work schedule, visiting hours, and/or family circumstances.
• How important it is to maintain contact in order to ensure his or her successful return to society.

Introductory Paragraph:


Write a short summary paragraph.

You might want to include some of the following points.

• Rates could be reduced if the state did not receive a large commission from the phone company.
• Quite a few states allow people in prison to make debit calls. These calls are much less expensive, and they allow the incarcerated person to take more responsibility for paying bills.
• Studies have shown that someone leaving prison with a strong social support system is likely to do better than someone without. Friendlier phone policies would enhance public safety.
• While I resent paying these bills, at least I can afford it. Many on fixed incomes simply are not able to accept calls.

Summary Paragraph:



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