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Full name of poetry recipient(s): *
If poetry recipient is a friend, how do you know this person? *
Your relationhip to poetry recipient(s), if any: *
If poetry is for a couple, is this their first Christmas together?
Will you be away for the Holidays and want to let someone know you will miss them?
Special memories of the past year:
Do you want this poetry to be romantic?
Humorous Christmas stories of the past you would like to include:
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry:
Other people you would like to include or acknowledge in your gift of poetry and why:
Special moments shared between you and the poetry recipient(s) this past year:
City and state the recipient(s) will be celebrating Christmas in:
Christmas memories you would like to share:
Names, ages, and sexes of your fiancee's children, if applicable:
Feelings you want to express (e.g. joy, love, commitment etc.):
Additional comments, notes or instructions that you would like our writers to consider in creating your gift of poetry: *
Would you like a spiritual or religious theme to your poetry?
Your relationship to
poetry recipient: *
Your full name: *
Your mailing address: *
Daytime phone number and best time to call: *
Evening phone number and best time to call: *
Special instructions or comments and date poem is needed: *
* Denotes required field.
Provide us with the requested information about yourself.
Then complete the poetry information request form below as you are able. Remember, the more detailed the information you provide, the more personal and unique the gift.
Your email address: *
What makes this Christmas special for you and the recipient(s)?
* Denotes required field
Physical traits of recipient(s) (e.g., height, hair color, eye color, handsome, pretty, cute, intelligent, witty, talented, etc.):
Character traits of recipient(s) (e.g., supportive, loving, kind, thoughtful, caring, dedicated,
hard worker, nurturing, unselfish, etc.):
"special words for special people"
