Poems for Someone Special

Product Description

Poem for Someone Special

Want to say “I love you”

But can’t think of the words

Let us write something for you

The message will soar with the birds

Fill out the form below to order a customized poem for your special someone today.

Poem for Someone Special 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 Email*

Customer Phone

Recipient First Name

Recipient Last Name

Recipient Nick Name

Recipient Place of Birth

Recipient Date of Birth

Relationship to Recipient

Length of Relationship

How/When you met?

Names and relationships of significant people to be included

Emotional Reflection of Recipient(What do YOU feel?)

What do you love most about the recipient?

Special Quirks/Traits

Descripition of significant events to be included

Milestones Together

Hobbies and interests of recipient

Hobbies and interests that you share

Inside Jokes/Funny Stories

Is this for an anniversary? If so, what year?

Special memories that you share

Recipient's favorite food, color, form of entertainment

What is the first word that comes to mind when you think about the recipient?

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

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

What do you see/hope for your future with the recipient?

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

Any additional information

Tone of poem(humorous, serious, or 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 photos to be included

Upload

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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Product Description

Poem for Someone Special Form(the more questions you answer, the better the experience)

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