Birthday Poem

Birthday Poem

No matter the birthday

You must cherish every year

With Starlight Verse Custom Poetry

The choice becomes clear

Fill out the form below to order a custom Birthday Poem perfect for those that mean the most to you.

Birthday Form(the more questions you answer, the better the experience)

Customer First Name*

Customer Last Name*

Customer Address

Customer City

Customer State

Customer Zip Code

Customer Phone

Customer Email*

Recipient First Name

Recipient Last Name

Recipient Nickname

Recipient Place of Birth

Recipient Date of Birth

Relationship to Recipient

How you met?

Names and relationships of significant people to be included

Emotional reflection of recipient(What do YOU feel?)

Description of significant events to be included

Special quirks/traits of recipient

Milestones

Hobbies and Interests

Inside Jokes/Funny Stories

Special memories that you share

Recipient's favorite food, color, form of entertainment

First word that comes to mind when you think of the recipient

If the recipient were a color, what color would they be?

If the recipient were a season, what season would they be?

If you could grant the recipient 1 wish, what would it be?

If the recipient were a cake, what flavor would they be?

What do you see/hope for the recipient's future?

Any additional information

Tone of Poem(humorous, serious, somewhere in between)

Would you like the poem to rhyme?*

Yes
No
It does not matter

If you are purchasing a Presentation Ready Slide Show, please include a minimum of 15 pictures to be included

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Poem Format

1 Page e-poem---$20.00
2 Page e-poem---$25.00
Presentation Ready Slide Show---$50.00
1 Page Poem Printed on Stationery in Color---$35.00

I consent to having part of, or my entire poem used by Starlight Verse Custom Poetry under our Sample Work Page(names will be removed)

I would like to receive further communication of any news regarding Starlight Verse Custom Poetry. This may include sales, giveaways, and other promotions.

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Birthday Form(the more questions you answer, the better the experience)

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