| Your Name:
|
|
| Their Name(s):
|
|
| Their Age(s):
|
|
| Your Address
Line 1: |
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| Your Address
Line 2: |
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| City:
|
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| Post Code:
|
|
| Phone:
|
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| E-Mail:
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| Who is the song for? |
|
| What colour eyes do they have? |
|
| What colour hair? |
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| What job do they do? |
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| What occasion is it for? |
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| Do you
want a fast or
slow song? |
|
| Where did
you meet them? |
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| How did
you meet them? |
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| What interests do they have? |
|
| Their favourite
songs/artists? |
|
| Any other facts or information to include? |
|
| How did
you here about us? |
|
Please
tick to agree to Terms
& Conditions
|
|
