CREATE A FORM

#3—- Create Form for Customer to fill out when ordering services.

1 First Name*

2 Last Name

3 Email *

•   Confirm email again

4 Recipient’s First Name – or Nickname*

• Please fill in box

5 What type of writing are you requesting?*

• • Dedication

• • Editing

• • Ghost Writer

• • Love Letter

• • Personal Letter

• • Poetry

• • Speech

• Other {Box}

6 What is the occasion?*

• • Anniversary

• • Bar Mitzvah

• • Birth

• • Birthday

• • Retirement

• • Roast

• • Special Event

• • Toast

• • Wedding Speech

• Other  {Please fill in Box}

7 Favorite hobbie, vacation spots, drinks, that both of you share.*

• Please fill in box

8 What is the relationship to this person?*

• • Mother

• • Father

• • Sister

• • Brother

• • Grandparent

• • Friend

• • Co-worker

• • Bride

• • Groom

• • Husband

• • Girlfriend

• • Boyfriend

• • Partner

• • Other  {Please fill in Box}

9 Would you like religious terms used in this?

• • Yes

• No

10 Mood Preference – What mood would you like this to carry throughout.*

• • Funny

• • Upbeat

• • Sexy

• • Down Right Dirty

• • A bit of everything

• • Turn the lights down

• • Seriously I love you

• Drop dead

11 Intended Purpose – What would you like this writing to accomplish?

• Please fill out whatever you can

12 What else can you tell us about this person? Please give as many clues as possible,

or give us 10 words or so, which you would associate with this individual.*

• Please fill in Box

13 How soon would you like this completed by?

• Calendar

14 Catcha.

• 2+4 =