Your details First name Last name Email address(es) Contact phone number(s) Number of verses £30.00 for 6 verse poem £27.50 for 5 verse poem £24.50 for 4 verse poem £3.00 for extra verse Recipient details We need to know as much as we can about the person who will be receiving the poem Name Age Relationship to you Why do you want the poem? wedding, anniversary, retirement, leaving party, birthday, speech etc?
What is the recipient like? loving, kind, clumsy? bossy? organised? rude? shy? - any endearing or strange habits?
Memorable times? loving memories? embarrassing moments? funny stories? drunken escapades? The more information the better the poem.
What do YOU want to say to them in this poem?
Please tell us how you would like the tone of your poem. This is very important. eg: comical, loving, serious, sad, or a mixture of both. We need to know how comically inappropriate we can make this poem - for example you would not want to tease/lightly insult a work colleague as you would a best friend whom you've known for years. Please give details of the person's personality and their sense of humour
Please list here any additional information / comments for your poem.
Please do not list information that you do not want inserted into your poem.
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