Order your song!
Please be thorough with this questionnaire. I need as much information as possible to write your song! I will also most likely be e-mailing you some follow-up questions!

(I, Jordan Cooper, will not use any of your personal or private information for anything but creating your song.)

Email address *
Is this song for you or someone else? *
What is your/their full name? *
Your answer
Can you spell it phonetically?
Your answer
Are you/they male or female? *
How old are you/they?
Your answer
Where did you/they grow up and where do you/they live now?
Your answer
Can you tell me something, anything about yourself/them? *
Your answer
What kind of music do you/they like? *
Your answer
How did you hear about writeasongaboutme.com?
Your answer
Is there anything MORE you can tell me about yourself/them? Favorite foods/places/people/art/things? *
Your answer
This is the kind of song I want! *
After submitting your questionnaire, please click on the Paypal links below to finalize your order! Thank you!
A copy of your responses will be emailed to the address you provided.
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