Order Form, Check or Money Order

Copyright Notice: The copy of the poem you purchase will be original, and will be yours to use as you see fit except for publication. The author will hold the copyright to all material, and in rare instances may at a later time publish generic pieces-pieces not containing names of the poems' purchasers or recipients.



The samples on this website are meant to give you confidence in the quality of the product
and help you feel safe about paying in full at the time you order your poem.  
Most customers are competely satisfied; if you are not, I will revise your poem until you are.  
If you have a question prior to ordering, type your name into the form below, type your question in the information box near the bottom of the form, and submit.  I will answer your question promptly.

In almost all cases, the cost can be predicted exactly by using the following guide.

Sonnet: $125    .    Limerick or Four-liner: $50    .    Anything Else: $100 *

* Exceptions are special orders, such as long (more than 16 lines) narrative poems.
Those need to be arranged by e-mail or phone.

Complete the order form below, click the Submit button, and send check or money order

made payable to Revisionary, Inc. to Revisionary, Inc., P.O. Box 1057, Ft. Washington, PA 19034.

First Name:
Last Name:
Address:
City:
State:
Zip:                                               
Phone:
Fax: (Optional)
Email Address:
Company Affiliation: (Optional)
Occasion/Circumstance                                             HOW THE                                                                                        FONTS LOOK
If other, please specify:               Albertus Medium
Tone                                                    Arial
If other, please specify:               Book Antiqua
Style                             Lucida Sans Unicode
If other, please specify:            Monotype Corsiva
Font (see samples at right)                                  Times New Roman
If other, please specify:                 Verdana
Type (or paste in) information on
which you want your custom poetry
based.  Include all names, incidents,
circumstances, and feelings that
might add meaning.  Most items you
mention (perhaps not all) will be
worked into the piece.  Please make
special note of any material that you
consider essential.
Type of Payment (Make checks
payable to Revisionary, Inc.):
Amount:
If other, please specify:
Payment mailed or to follow?
How would you like your poem sent?


Your poem will be sent to you within five business days of your payment's arrival.

(If you need a rush order, call me at 215-872-6406; I'll see what I can do.)

Important Note:
Some personal firewalls need to be temporarily disabled
to enable the Submit button.

 

    © 2004-2006
    Custom Poetry
    P.O. Box 1057
    Ft. Washington, PA 19034
    215-872-6406  |  Fax: 215-540-9843
    e-mail: inquire@custompoetry.net