Request a poem from lost4wordsuk

    Please fill out the form below as first point of contact. Remember, you dont have to be a best selling author. All I need is basic information about the recipient of the poem along with simple bullet points of what you may like to say.

    Contact details

    Your Name (required)

    Your Email (required)

    Telephone

    Address

    Your Poem

    What size poem would you like? i.e. number of verses

    What’s the occasion?

    Date poem required by?

    Budget range £ (donation)

    Best time to contact?

    Additional information:

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