Partners in Rhyme Order Form
Please fill in the order form below. Please try to provide us
with as much information as possible, so we can write
a truly "personalized" poem for the recipient.

 

Full Name

Street
City
State
 		ZIP
Email

Phone

Best time to call:
Morning (09:00 - 12:00 AM)
Afternoon (12:00 - 06:00 PM)
Evening (06:00 - 09:00 PM)
Do not call. I will call you within
three days.

 The Poem is for my:
Husband Wife
Son Daughter
Father Mother
Brother Sister
Fiancee Sweetheart Friend
Other
The Occasion is:
Wedding Anniversary
Birthday
Graduation
Valentine's Day
Mother's Day
Father's Day
Christmas
No Special Occasion
Other 		What Greeting should we use?
Dear
Other

What Closing should we use?
I Love You,
Love Always,
All my Love,
Other

Please tell us about the recipient.
Check as many boxes as you like.
sense of humor spiritual
 sensitive romantic
generous thoughtful
compassionate
adventurous
sentimental kind
Other

List hobbies or interests of the recipient:
Please enter below any specific events to be mentioned, basic sentiments you wish to convey, or any specific information about the recipient which would make the poem more personal.

May we add you to our e-mail list for special offers? Yes No




 

 

 

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