©2008 Your Perfect Poem

| Your Perfect Poem is the trading style of Melanie Luke|

The truly unique, perfect, personalised gift.

Step One - please complete this form fully, submit it and you'll then receive an e-mail with the Paypal payment details. Please enter as much detail as possible in this form - the more information you provide, the better your poem can be! Thank You.

NB - Please use your mouse or the TAB key to move down the boxes. If you press Enter the form will reload and ask you to put in all the remaining answers. Thanks!

Your Name* 
Your Address* 
Your Telephone* 
Your E-Mail - PLEASE double check this entry - If it's wrong - you will not receive the payment notification.* 
Date Your Perfect Poem is required 
Occasion of poem* 
Type of Poem? (humorous/serious/loving etc) 
Recipient's Full Name and Title* 
Recipient's Nickname (if appropriate) 
Recipient's Age 
Recipient's Occupation 
Recipient's Relationship To You 
Time known to you 
Recipient's Hobbies and Interests 
Recipient's Behavioural Traits 
Recipient's Habits (Good or Bad!) 
Recipient's Character 
Funny or Embarrassing Moments 
Any Further Information 
Anything specific NOT to mention? 
Any specific message you would like to include? 
Attachment - You may attach a text file with the information if you prefer, as long as everything I've asked for is included 
Select Poem Option* 
Added Acrostic?* 
Delivery Method?* 
Please Enter Total Remittance* 
 * mandatory
 

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