Questionnaire: Romantic Poem

Your Details
*Name
Telephone
*Your email
The Poem How would you like to receive your poem?
Via email Via text message. Text number: (e.g. +4478945612)
Please tell us if the recipient is:
Male Female
Please tell us the name of the recipient

Please choose from the following options
Romantic poems - flowery words to express how ardently you feel Flirty Poems - light flirting, playful, teasing Saucy - slightly naughty.. Rude - this can be very Rude, so only click this box if you are really sure....

Information

Please fill in the box below giving us as much additional information as you can, for example is the recipient male or female, how old is the recipient (or an approximation). To make the poem special, we need to know about any special features or good points of the subject. How do you address this person - special names? How long have you known each other, any hobbies or dislikes?

Also tell us here if you would like the poem composed around the persons name e.g. E is for your eyes...

£40.00

Note: We will never release, sell or give a client's name or email address to any other party or organisation. Our clients will only receive email or text messages that contain the requested information.

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Questionnaire: Romantic Poem

Your Details

The Poem

How would you like to receive your poem?

Please tell us if the recipient is:

Please tell us the name of the recipient

Please choose from the following options

Information

£40.00

Note: We will never release, sell or give a client's name or email address to any other party or organisation. Our clients will only receive email or text messages that contain the requested information.