REQUEST FORM FOR POETRY

First Name Middle Last
Poem you wish to use
Your e-mail address
Reasons why you wish to borrow this poem


Now, a little about yourself

Whould you like to join this site? Yes No
Have you taken the pledge? Yes No, because i wish to die painfully
Is you name John Selden? NO NO HOW DARE YOU ASK ME THAT??? NOOOOOOO
Finally, Have you ever been to Oklahoma? Yes No I don't remeber In a dream