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Poem for Publication
Thank you for consenting to share poem of SOMEONE SPECIAL TO YOU. Complete the form and submit poem to link at the end of the form. Look for your poem on the GRAMPOPPA page at this link
What is first name of writer of poem you will send?
What is last name of writer of poem you will send?
What is the birth date of the writer of the poem you will send?
Preferred email of writer of poem
Preferred phone number of family member
Name of Poem (Write title exactly the way you want it to appear on the website.)
Author's Name to appear in publication (Write name exactly the way you want it to appear on the website.)
Is the writer of the poem
Under 18 years olld
Over 18 years old
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