Customer Info Form Page

After you fill out this form, you must either go to the Store page or get a money order or check in the mail. I can't get started without payment. Please allow check clearance 7 to 10 working days...

In order for me to Personalize your song, I will need as much information as possible. Lots of information will give me more flexibility in writing the lyrics for your song.

Please provide the following contact information:

Subject First Name
If it is a Kid's Birthday-Age

Your First Name

Subject's Last Name

Your Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-mail

If you are ordering a KID'S Birthday Song you won't need to go any further. Just put a check in this box KID'S BIRTHDAY

Fill in the blanks, I need a minimum of three historic events.

Likes and dislikes:

Favorites (food-cars-etc):

Your history with this person (where and when you met)

Pick an occasion: ChristmasValentineWeddingAnniversary Birthday Barmitzfah's GraduationRetirement party (Roasting, I'm good at that)Mother's Day Father's Day

Specific Song:

ArtistTitle

Style: If you want me to choose.

Country    Old Rock       Pop        Standards
Jazz       New Rock

Please remember, filling out this form without payment will not get the song started. You must purchase at the Purchase Page or send me Check or Money Order to the address on the Contact page.

	I have 50 years of singing every kind of music there is. I have a 3 octive range and can impersonate any male and even some female singers. Most of the tunes I write for my customers have a humor touch to them. That is usually what is requested but I have also done REAL serious tear jerkers as well. Ok now that I've blow my horn, please try me out. I hope to sing for you soon.

	NEWS BOX HEADING

Check out my new Christian CD. I am very proud of it.