| YOUR NAME |
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| YOUR EMAIL ADDRESS |
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| YOUR PHONE NUMBER |
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| 1. IS THIS A TRIBUTE TO A SPECIAL FRIEND OR LOVED ONE? If yes, their name or names, if multiple: |
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| 2. RELATIONSHIP TO YOU: If applicable |
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| 3. SONG: If “yes,” what music genre preference? |
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| 4. POEM: If “yes,” do you have a preference type? Sonnet, Haiku, Free Verse, Limerick, Ode, Elegy, Ballad, Acrostic |
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| 5. SHORT STORY: If “yes,” Fable & Parable, Myth & Legend, Sci-Fi & Fantasy, Literary Fiction, Flash Fiction, Anecdote, Fable, Vignette, Feghoot, or Sketch |
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| 6. PICTURE / WALL ART: Posters, Canvas Prints, Classic / gallery-wrapped |
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| 7. Other: |
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| 8. NOT SURE. 😳 SURPRISE ME! At least try to tell me what you DON’T want. If you’re good with full-on surprise, then just tell me that, too. 😊 |
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| 9. Any questions you have? |
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