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1. Who is this shoutout for? (Name of the person who this shoutout is for) (Required.)

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2. Who is this shoutout from? (Name of the person who this shoutout is sent from) (Required.)

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3. What's the occasion or reason for the shoutout? (Required.)

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4. Instructions for the artist ( What do you want the artist to say in the shoutout ) (Required.)

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5. What's something about the recipient you want the artist to know? (Required.)