POETRY FROM THE HEART     

ORDER FORM- Fill out the form below and click submit. You can also email me directly at CACFILLY@aol.com

Request for Personalized Poetry or Basic Poem
NAME:
MAILING ADDRESS:
PHONE (if applicable):
EMAIL:
Type of request: personalized poem
  generic poem
Description for personalized poem--Particular things you want included in your poem-names, history, events, etc.:
Type of generic poem (if applicable) - i.e. Mother's day, female birthday, male birthday, friend birthday, anniversary, etc:
Once I receive your request I will contact you by email or by phone to discuss your order. Please be advised that creation of the final product may take 1-3 weeks from order receipt so keep this in mind when ordering for a specific occasion.:  



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