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Present your love now, let me tell you how: You can say it through me, I write in poetry!
Your Name: _______________________________
Information regarding recipient:
Name and nickname or pet name, if any? ________________________________
Special Personal Qualities: ______________________________________
Color of hair, eyes, smile, mannerism? __________________________________
Characteristic(s)? __________________________________________________________
Your reason for this poem
Theme? ______________________________________
Occasion? ______________________________________
Hobbies? ____________________________________________
Goals or dreams? ____________________________________
Favorite:
Season? _________________________________
Place (i.e. country,city, sky, ocean,)__________________________________________
Room, forest, caves, etc.? __________________________________
Sport? ___________________________________
Memories? _______________________________________________
Your Relationship with Recipient:
Feelings? Love, appreciation, joy? ___________________________________________
Memorable Shared event (s)?
When? __________________________________________
How? _____________________________________________________________
Extra Comments:________________________________________________
______________________________________________________________
Complimentary Closing (i.e. How do you want to sign it?):__________________________ _________________________________________________
Your Poem will Incorporate:
Things you've listed, presented in beautiful wonderful feeling poetry.
It will be printed in an elegant and appropriate font
Signed with your name, using your complimentary closing
It will be placed on an original carefully selected picture used only with your poem,
Matted appropriately
Covered with nonglare glass and
Framed in a golden metallic 11 inch x 14 inch frame.
Artistically Yours, Inc.
(408) 734-3357
Please send down payment of $125 with questionnaire. Balance of $125 due when poem is approved via phone and poem will be shipped to you.
Master Charge or Visa available
P.O. Box 64243, Sunnyvale, California 94088-4243
Click here to see a sample of a questionnaire filled out or Click here to go to the home page.
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