Thank you for your consideration in purchasing a custom poem from PoemBuilder.com. This is the fun and creative part and we need your help. Each poem takes on a life of its own, like a painting no one poem is exactly like another.

You can expect your poem within 10 days or sooner of submittal and payment. Your satisfaction is our goal, because we want you to come back again and again.

Poem Information Please fill out the information below so that we may create the most suitable poem for you and your needs. Below is topical choices to help you convey the general theme of you poem. Also is mood menu and a general description of the purpose of you poem. If you feel that there are other things that might help, please fill in the field that are appropriate to help me make your poem as personal to you as if you were to write it.
Type of Poem	Love - $45 Anniversary - $50 Spiritual - $60 Funny - $35 Wedding - $45 Inspirational - $40
Mood	Playful Witty Sensual Marry me Dr. Suess Serious Spritual Heartfelt Emphathy Hugs Totally wacky
Purpose of the poem
General description of what you would like to see in the poem:
Special Things to Mention
Events or things you would like to have mentioned in the poem:
Optional
Nickname
Name of Spouse or Best Friend
Schools Attended
Year(s) Graduated
Sports
Hobbies
Pet Peeves
Employer and year(s) worked
Special Honors
Branch of military service
Favorite Things: (Food, Song, Band, TV show, Actor, Movie)
Animals (Pet breed, name, description)
Physical Description (Eye color, hair color, height, etc)
Customer Information
Name
Phone
Email