Commissioned Poem Submission

Custom Poem Submission!

TO BEGIN YOUR COMMISSIONED POEM PROCESS, PLEASE FILL OUT THE FOLLOWING.

Once submitted, you will be contacted via email, within 48 hours.

Your Name *

First

Last

Your Email *

Phone Number *

Is this poem for a special occasion? Do you need this poem by a certain date and time? Indicate this info here please. *

Who is this poem for? What is your relationship to the poem recipient? *

Details! Provide as many as you can about your poem recipient, special occasion, etc. Think of things like: specific memories, nicknames, places, qualities of this person or relationship, etc. In YOUR own words, what do you want to express from your heart. No need to be "poetic." You can provide in bullet points, complete sentences or any combination of any of the above! More can be discussed during your consultation. *

It is helpful to submit photo(s) of your poem recipient. Marie uses the images as inspiration. Send ones that best represent your poem recipient or photos of you together or anything that captures his or her essence! Please send photos to mariewhitman@eatyourpoem.com. Indicate in the box below if you will be sending photos. *

Where will the poem eventually be mailed (or dropped off if local?) Please provide address. *

Submit

Custom Poem Submission!

TO BEGIN YOUR COMMISSIONED POEM PROCESS, PLEASE FILL OUT THE FOLLOWING. Once submitted, you will be contacted via email, within 48 hours.

TO BEGIN YOUR COMMISSIONED POEM PROCESS, PLEASE FILL OUT THE FOLLOWING.

Once submitted, you will be contacted via email, within 48 hours.