Custom Eulogy Poem Order Form

A lasting memento for US$100/€70* [Convert Currency]
(* EU Customers see note.)

Poetry is often quoted as a eulogy or used on memoriam cards or on gravestones. Why not commission a customized funeral verse to pay a lasting tribute to a loved one? Your verse will be suitable to read at the funeral or memorial service. You could of course, also give copies to the family and friends of the deceased at such a service. Alternatively, it could be used on a memoriam card or inscribed on the gravestone as a long lasting reminder.

Please remember that we only ask these questions so that we can write a personal and moving verse, so do answer as fully as possible. The few minutes you spend answering may mean that your poem will give comfort for years to come.

Please complete this form below.
The information in the form will be e-mailed to us.

What happens next?

  • We will reply to you asking for further information, if we feel that is necessary. The more information you give us in the first place, the better.
  • We will let you know when your speech will be sent to you. We have never missed a deadline, or broken a promise.
  • The speech will be written and sent to you. If you require any modifications you can let us know at that stage and the speech will be modified and the final version will be resent to you.
  • We offer a 100% refund policy. If you're not happy with your speech, we will refund the money to your account in full. We have been writing speeches since 1995 and over 99.5% of customers have been happy with their speeches.

1. Your Name:
2. Email Address:
(You must provide this to receive your speeches)
3. Country:
4. Phone Number:
5. Any Comments:
6. When do you require the poem.
(This is important because sometimes we cannot meet particular deadlines although we always do our best.)
7. What connection have you with deceased and why are you having this poem written?
8. Religious belief of the deceased? Was he or she a member of any church or had they any spiritual beliefs?
9. Name of deceased
10. Age of deceased
11. Sex of deceased
12. Career of deceased (if applicable)
13. How they died: old age, in accident, illness, unexpectedly?
14. Personality of the deceased, hobbies etc.

He was a quiet serious man, loved reading historical books. He liked football and was also a keen gardener with a great knowledge of roses. He played cards with his friends once a week and travelled extensively in Europe.
She was a jolly person, full of life and vitality and very popular in the neighbourhood. She was a wonderful cook and made delicious apple pies for every family occasion. She loved acting and was a star at all functions in the local dramatic society.

15. Commitments of deceased. Had they a commitment to some organization or group. e.g. Was he/she in a political party, a church group or perhaps an organization such as the scouts?
16. Did you do something with them? e.g. Did you play cards every Saturday or go to dinner every month?
17. Had they a particular habit by which they were known? e.g. did he/she always whistle or do a party piece?
18. Name a particular talent of the deceased e.g. he she was a great amateur actor/dancer.
19. Do you want some humour in the eulogy?
20. Finally and most importantly: What sort of relationship had you with and what do you want to say about the deceased?
21. Special note for E.U. residents only.
  1. Customers who reside in the Republic of Ireland will be charged Vat at 23%.
  2. Customers who reside in the European Union (Excluding the Rep. of Ireland) will be charged Vat at 21.5% for speeches/poems for personal purposes (weddings etc.) If it is for business purposes and a Vat number is provided, vat will not be charged.

I am a resident of the European Union.
I am not a resident of the European Union.

VAT Number if applicable:

Credit Card Details
Credit Card Number:
Name on Card:
Expiry Date:
Card Type: Visa/Access MasterCard
CVC code: **
** 3 digit code required for Visa and Access. It is on the rear of the card sometimes with the last four digits of the main card number. You will find it on the strip where you sign the card.

If necessary we will e-mail you for any clarification or any additional information we require.