Poem Request Form

For over four years I've been working as a poet, typing spontaneous poetry on a vintage manual typewriter. Known as the Poem Store, I was introduced to this vocation by a friend and have found it to be deeply rewarding and enjoyable and a complementary discipline to my painting and other writing.

The poems born from this endeavor are immediate, personal, and unique. Personalized, typewritten poems can be requested below for a donation of your choice.

If you would like to request a personalized poem written by Marlene Seven Bremner, please fill out the form below.

Choose an amount that you would like to donate for the poem (suggested $20 minimum), and then click submit. I will respond with a link to make your donation, and then I will type your poem on card stock using my vintage typewriter—currently an Olivetti Lettera 22, and will send it to you in the mail.

Your Name

First Name

Last Name

Name on Poem?

If you'd like the poem to be addressed to someone in particular, please put their name here.

Topic for your poem

Your topic can be anything that you can imagine. Please limit your overall topic to a few words. If you'd like a poem for or about someone in your life, for example your spouse, child, or significant pet, then please us the comment section below to elaborate and tell me a little bit about them. If you don't know what you want the topic to be, say "Poet's Choice," or ask me for more information.

Additional Comments

Please use this space to elaborate on your topic. For example, if this is for someone special in your life, please tell me a little bit about them.

Donation

Please enter an amount you would like to donate for the poem (suggested minimum $20). I will send you a follow up email with a link to make the donation.

Address

Please enter the address where you would like the poem to be sent.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Addressee

Who's address is this?

First Name

Last Name