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Recipient's full name: *
City and state of recipient's residence:
Reason for thank you: *
Recipient's marital status:
Your nicknames for recipient:
Recipient's nicknames
for you:
Names, ages and sexes of recipient's children, if any:
Describe in detail what you are thanking this recipient for and how the recipient might have gone out of his or her way to accomplish it: *
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry:
Did the recipient's actions make something in your life easier or more simple and if so, how?
Your memories of special events that may have precipitated recipient's actions:
How have the recipient's thoughtfulness, actions and/or endeavors affected or you: *
Names, ages, and sexes of your fiancee's children, if applicable:
Names, ages and sexes of recipient's siblings, if any:
Additional comments, notes or instructions that you would like our writers to consider in creating your gift of poetry: *
Does a humorous story or explanation accompany your gratitude and if so, explain?
Describe your relationship with the recipient and if thank you is from a group of people and you want them listed, please name them:
Your relationship to the recipient, if any:
Your relationship to
poetry recipient: *
Your full name: *
Your mailing address: *
Daytime phone number and best time to call: *
Evening phone number and best time to call: *
Special instructions or comments and date poem is needed: *
* Denotes required field.
Provide us with the requested information about yourself.
Then complete the poetry information request form below as you are able. Remember, the more detailed the information you provide, the more personal and unique the gift.
Your email address: *
Spouse's name, if married:
* Denotes required field
Physical traits of recipient (e.g., tall,
hair color, eye color, strong, handsome,
cute, intelligent, witty, talented, etc.):
Character traits of recipient (e.g., supportive, loving, kind, thoughtful, caring, hard worker, nurturing, unselfish, etc.):
"special words for special people"
