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Order Form for Personalized Poems

Explosive Rhymes By Ruth | SAMPLE POEMS | Specialty Paper | About the Poetess | Mission Statement | Poem Order Form | Short Order Form

Ordered by:
Name: __________________________
Address: ________________________
City:__________________State: _____
Zip: ______
Phone: ______________  Fax: _____________
E-Mail Address:_____________________
Poem Created For: (daughter, son, mother, friend, etc.)
Name:_________________   Nickname:____________
(Where the poem will be shipped)
What's the occasion:______________________
(anniversary, birthday, friendship etc.)
Sex:  M___  F___
Physical Description - eye color,  hair color, height, etc.
Special words:_________________________________
Name an event you want included:_________________
Special Moment(s) you want added:________________
What else would you like me to know about your special
Anniversary date:___________
Special date to be added: __________________
If you have anything else you would like for me to include
about your special someone just add below:
Poems are printed on specialty paper created by the Poetess.  Added cost if you would like the poem printed on glossy photo paper ($3.00)
Paper size is 8.5x11 with a special border design created to go with each poem.  All poems are suitable for framing
Pricing: All Personalized Gift Poems: $29.00, this includes Shipping and Handling.
Now you can order your Personalized Poems through PayPal. Once payment has been verified you can email or fax your order form to:
Fax# 770.879.1566 You can also purchase by money order: Once payment has been received along with your order form you will receive a confirmation call.
Then once your poem has been approved by you and final touches made, it will be mailed out the next business day. So make sure you order your poetry gifts in time for that special birthday or anniversary etc. 
Allow two weeks for delivery and this all depends on where you are located in the United States. 
Rush orders can be faxed or emailed when paying through PayPal. Fax# (770.879.1566)
Email:  All that will be required is your approval of the poem. 
Please include your phone number and email address so she can verify receipt of your order form,and money order.  
Make your money order out to:
Ruth Sadi El
Mail order form to:
Ruth Sadi El
5328 Kelleys Mill Circle, 
Stone Mountain, GA 30274
Fax: 770.879.1566
Any problems printing this order form
just copy and paste then print out.
Thank you in advance for your purchase

Explosive Rhymes By Ruth