Format as Poem Manuscript

Format my poem for manuscript submission.

Poem text:
{{poem}}

Title: {{title}}
Epigraph if any: {{epigraph}}

Manuscript formatting:

```
[Your Name]
[Address]
[Email]
[Word/Line Count]

[TITLE IN CAPS OR BOLD]

[Epigraph if applicable, italicized, attributed]

[Poem text with proper line breaks and stanza spacing]

[Section breaks marked with * or blank lines as appropriate]
```

Additional notes:
- Indicate any special formatting requirements
- Note pronunciation guides if needed
- Include brief notes on form if relevant
- Check for consistent spacing and alignment

Provide the fully formatted manuscript-ready version.