Tell me a short description of who the poem is for; who it's from, your relationship to the person(s), and what  the poem is for. The rest of the fields are optional. Since some things are more important than others, add such comments. Only provide information on those things you'd like to see in the poem.  If you don't want their "favorite movie" mentioned, then you don't need to provide information about it.

$25 - just send the poem via email - I will take care of printing it.
$35 - poem printed on frameable paper.
Customer Details:
Name:
Street Address and City, State Zip

Phone #:
Email:  
General Description of the purpose of the poem wanted: 

Events or things you specifically what mentioned in the poem.

Nickname(s):  
Name of Spouse or Best Friend: 
Schools Attended and year/years graduated:
Sports:
Hobbies:
Pet Peeves:
Employer and year(s) worked:
Special Honors:
Branch of military service:
Favorite Things: Food, Song, Band, TV show, Actor, Movie:

Animals and/or pet breed, name, description:

Physical Description -eye color, hair color, height, etc.