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SINGING
VALENTINE ORDER FORM
Please complete this online order
form or call (717) 328-3674 to order by phone.
Who
is sending the Singing Valentine?
Your LAST name:
Your FIRST name:
Your Work / Daytime phone:
Your Home / Evening phone
When is a good time to call you?
9 -12 AM
12 - 4 PM
4 - 8 PM
Other, please explain:
IS THIS A SURPRISE? Be sure
to let us know by answering these questions:
Yes
No Can we call you at home?
Yes
No Can we leave a message on the answering
machine?
Yes
No Can we leave a message with someone who
answers the phone?
Yes
No Can we email you with a message? Your
Email:
Any special instructions to keep it a surprise?
Who
is receiving the Singing Valentine?
Their LAST name:
Their FIRST name:
Who is the Contact Person at the location? (someone
to contact to make sure your special person is available)
Contact person's phone:
Delivery Address (If a business, include company
name, room, floor, etc.)
Directions to the location for delivery (include
any special instructions):
Other comments:
A quartet will sing two love songs, deliver a valentine bear, and
provide a Polaroid picture of the event for a base price of $40. Please
discuss these and other options when we call you to schedule.
NOTE***Payment is required no later than one week
prior to the scheduled event. We accept payment by cash or check ONLY.
Please discuss payment instructions when we call you to schedule.
Chorus
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