CJs Originals - Where Words become Roses for the Heart.

CJs Questionnaire

Where Words Become Roses for the Heart™

Please indicate which frame style you prefer.

DESCRIPTION (11 X 14) FRAMES	SKU #	SELECT
Light Wood (light oak, light cherry, honey, natural)	LTW1114
Dark Wood (dark oak, dark cherry, dark walnut)	DKW111
Distressed Wood Light	DSWL1114
Distressed Wood Dark	DSWD1114
Gold Finish Wood	GFW1114
Silver Finish Wood	SFW1114
Whitewash Wood	WHW1114
Primary Red Wood	SRW1114
Primary Blue Wood	PRB1114
Primary Green Wood	EGW1114
Primary Yellow Wood	PRY1114
Pastel Blue Wood	PLB1114
Pastel Pink Wood	PLP1114

Your Framed Poem $56.00

Photograph Background $20.00 is in addition to your frame choice.

Shipping & Handling $12.00 each. Please allow 3-4 weeks for delivery.

To receive your own CJs Originals™ Please complete the following Questionnaire:

Please tell me about the poem you wish to have designed. Give as much detail as you can.
The more detail - the more personal the poem.

Only complete the questions that pertain to the gift you are ordering and
all general questions.

General Questions

Your Name

Your Address

Phone Number

Your Email Address

1. Which Selection Did You Choose For Your Poem?

Our Furry Friends Births Birthdays Children and Teens Romance Weddings Anniversaries Friendship and Encouragement Holidays Other Special Occasions Family Faith and Inspiration Memories of a Loved One

2.  Who is the poem for?
2a. What is their name?
2b. If you want to use a nick name, what is it?
2c. Where do you want their name to appear?     The top     The body     Both

Our Furry Friends

3. If this is for a pet, what is the pets name?
3a. Where do you want the Pets name to appear? The top The body Both

Births

4.   Is this for an expecting mother?     Yes     No
4a. If this is for a baby, what is the baby's name?
4b. Do you want the baby's date of birth at the top of the poem?     Yes       No
4c. If Yes, What is the date?
4d. Do you want the mother and father's name in the poem?     Yes       No
4e. If Yes, What are their names?
4f.  Is the baby    A Boy?     A Girl?     Unknown?
4g. If there is a special theme for the nursery what is it?

Birthdays

5. If this is for a birthday when is it?
5a. Do you want the birthday at the top of the poem? Yes No

Weddings

6.   What is the date of the wedding?
6a. If there is a special theme for the wedding what is it?

6b. Is the wedding being held in a special place?

6c. Tell me something special about the wedding couple, also how and where they met.

General Questions

7. If this poem is for a parent, do you want it to say Mom or Dad only? Yes No

8. If there is a favorite hobby, interest or color that you want expressed in the poem what are they?

9. What do you want to say that is special and CJ will try to express that feeling in the poem?

10. How did you hear about CJs Originals?

YOUR PRICING INFORMATION

Matted, Framed Poem	$56.00
Shipping & Handling in USA & Canada	$12.00
Sub-Total		$68.00

For Photograph Background (additional)	$20.00
Total		$88.00

Do you want a photograph background ? ($20 extra) Yes No

When you have finished click on EDIT/ SELECT ALL/ then on CJS page/ Right click and COPY,
Then Click on one of the email addresses below/ and Right click in the upper left corner of the email letter and PASTE. Then Send:

cj.matheny1@verizon.net

jim.matheny1@verizon.net

When you have finished viewing Questionnaire click on Home or "Follow the Roses to continue.