Creation Questionnaire
Price includes a couple of design proofs before making final choice. Poem will be sent via email. There are additional charges if printed, framed and mailed to you and may take longer for delivery. All sales are final. 50% of payment required upon submission of this form. Balance due upon delivery of final design.
Name of person submitting
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name for the creation (Include nickname)
*
First Name
Last Name
The Occasion (Check all that apply)
That's My Greatness
Birthday
Anniversary
Award or Special Recognition
Mother's Day
Father's Day
In Rememberance
Youth
Wedding Gift
Graduation
Just Because
Chrismas
Hanukkah
Other please share
Addional "That's My Greatness" Poem ONLY Please add name Favorite color/s, hobbies, talents and dream goal for each additonal child.
Greatest gift, talent, attribute?
*
What do you love or admire most about the person?
*
Attitude or behavior that can improve?
*
Hobbies, talents?
*
Educations desires? (youth)
What do they want to be when they grow up? (Youth)
What is their dream? Are they living their dream or doing a combination?
*
What is it everyone should know about the person?
Favorite color/s
*
Anything else you want to share to go into the poem?
Pictures - (2- 10 pictures)(Quality of photos will determine quality on creation)
*
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8.5x11 Personalized "That's My Greatness"
$15.00 each for additional children. Designed in their favorite color
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Personalized Name Poem
$25 per additonal child Designed in favorite colors w/pictures
$
39.00
Quantity
1
2
3
4
5
6
7
8
9
10
11x17
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
16x22
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
20x30
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family Creation
16x22 A separate form must be completed for each family member
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Personalized "We Honor Your Marriage"
8.5x11 Gold/Silver
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Personalized "Tribute to Fathers"
8.5x11 Poem and Certificate of Appreciation (Please include family pictures, individual w/father and as a family)
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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