Request a ‘Songs For the Deaf’ Dedication

To make a dedication request, just fill out this form.  If the sentence is already taken, I’ll let you know, and you can choose another.  I’ll email you a certificate of dedication with your name and your chosen sentence.

Name of Requestor

Email Address of Requestor

Page Number of Sentence

Requested Sentence

Dedicated to (Yourself or the name of the person you want the sentence dedicated to)

Email Address of Recipient (If not for yourself)

Certificate?
YesNo

Name on the Dedication Roll (Email address will not appear)
YesNo