Poem Intake Form
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Email *
Who is the poem from (Sender)? *
Who is the poem for (Receiver)? *
What is the occasion? *
What would you like us to mention in the poem? *
What mood would you like for the poem? *
Tell us the story you want the poem to be about. Tell us 3-4 key words, phrases or descriptions that you would like highlighted in the poem. You can include more than 4, but not all of them may make it in the poem so please list the most important ones first. *
A copy of your responses will be emailed to the address you provided.
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