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Purchaser's Details |
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Title |
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First Name |
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Last Name |
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House Name or
Number |
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Street |
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Town |
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County
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Postcode |
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Country |
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Telephone |
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Email |
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Delivery Address
(If different from above) |
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Part-Personalised Poem
- Order Details |
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Who is the poem
for (girlfriend, daughter, friend, pet, work colleague, etc.)? |
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Full Name of
recipient if appropriate (please include their Title) |
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Age of
recipient? |
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What is the date of
the occasion? |
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What date
would you need the gift to arrive? |
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Please give
an indication to the type of border theme required i.e. hearts,
kisses, flowers, etc |
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Please select a
frame finish for your poem |
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Please select
a layout for your frame |
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IF YOU DON'T
ALREADY HAVE A COPY OF A BOOKLET, PLEASE TICK THE BOX(es)
NEXT TO THE BOOKLET(s) YOU WISH TO RECEIVE VIA EMAIL.
£7.50 charge per
booklet |
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The
Cogs Are Still Turning
You
Make Me Smile
I
Love You Mum
You're
My Special Someone
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If you
already have a booklet, please confirm which booklet you have and
the number of the poem you wish to part-personalise. |
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Booklet Title
Poem Number
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What
message would you like at the top of the poem (limited to 250
letters including spaces) |
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What
signature would you like at the bottom of the poem (limited to 250
letters including spaces) |
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