REQUEST YOUR CUSTOM SONG Name * First Name Last Name Email * Phone (optional) Country (###) ### #### Describe your special occasion and your needs for this song project? * What is the story or theme behind this special occasion? Please provide some details about the significance and emotions associated with it. Do you have a deadline you'd like the song finished by? (leave blank if unsure) MM DD YYYY How would you prefer to communicate? * Either phone or email Phone Email In-Person (Brisbane/Logan only) How did you find out about this service? * If through a business or a referral, please mention their name below Thank you for filling out this form. I am excited that you’re interested in working together create a personalised and memorable song for your special occasion. I'll be in touch shortly to discuss the details and see how I can bring your vision to life through music.