Purple Poetry Online Order Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to our online ordering system! Please note that we cannot begin to fulfil your order until the below form is completed and submitted.

Email *

My full name: *

My phone number

Purple Poetry thrives from the conversations we have with our customers. In some instances, we may seek further detail on the information you provide below. If you wouldn’t mind a brief phone call to discuss your order, please write your number below.

Writing your number does not guarantee your poet will phone, as they may already feel a strong connection to what you have written.

Who is this poem for? *

Myself

Someone I care for

Please tick any poetry preferences:

Rhyme

Metaphor Galore

Personification Situation

Haiku

Nature Theme (potentially including astrological references, elemental references, or floral references)

Colour Theme

Magical Theme (potentially including something spiritual, witchy, or meditative)

Other:

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.