Mother's Day Quartet Order
* Required
Please sing to:
*
Recipient's Name
Your answer
Who is my:
*
Wife / Girlfriend / Mother / Mother in Law / Friend / Office staff / Teacher / Coworker / etc.
Your answer
Go to this address:
*
The location where the recipient is expected to be at time of delivery
Your answer
Unit # / Suite #:
Your answer
City, State, Zip:
*
Your answer
This location is:
*
Please select one
an apartment
a townhouse
a house
an office or commercial building
other
Are there any special instructions, obstacles or impediments to easily getting in?
Please describe special situations, if any. Otherwise state "None"
Your answer
Please write the following message on my Mother's Day Card:
*
Write a nice message to your Mom
Your answer
E-mail a photo of the event to the recipient at:
Recipient's e-mail address:
Your answer
And also e-mail a copy to me at:
*
Sender's e-mail address
Your answer
Pricing and Delivery Options
Delivery Date: Sunday, May 8th, 2016
Morning (at or after 8 AM)
Noontime
Afternoon
Evening, (at or before 8 PM)
Clear selection
Pricing Option
*
Please select your price and accompanying delivery time Window
$65.00 - (3 hr.) Three Hour Window
$100.00 - (1½ hr.) Hour and a Half Window)
$200.00 - (Exact time)
Subject to the Pricing Option that you have selected above, please give us your preferred time frame for our arrival:
For example, with a 3-hour Window, you may request: 8am - 11 am; or with a 1 ½ hour Window, you may request: 4:30 PM to 6:00 PM. -- We will arrive within your designated 3 hr., 1½ hr. or Exact time Window, OR YOUR MONEY BACK!
Your answer
Extra Roses (for an optional additional charge)
A single rose is included with our presentation to your Mom, however, you may add the following options, instead:
Make it a half-dozen Roses for only $20 more.
Make it a dozen Roses for only $40 more
Clear selection
This awesome Mother's Day Greeting is being sent by:
Name of Sender:
Your answer
Sender Address:
Your answer
City, State, Zip:
Your answer
Sender's phone number at time of delivery:
Please indicate the preferred number where we can reach the sender if there is any urgency at time of delivery. In other words, don't give us a number that the recipient may be answering, rather than the sender.
Your answer
Payment method:
*
Your answer
If a Credit Card is selected above, please provide Credit Card Number:
Your answer
Credit Card Expiration date:
Your answer
Credit Card Verification Number:
C'mon you know what we mean. (That 3 or 4-digit little printed number on your card).
Your answer
Name of the Credit Cardholder, if different:
Your answer
Credit Card Billing Address, if different. - If not, indicate "Same":
Your answer
City, State, Zip:
Your answer
Name of the Miamians member who helped you with this order - or received your check or cash, if any:
If none, then please tell us how you heard about us.
Your answer
Thank you for your Order. Now click the "Submit" button below. If it does not transmit, please check to see that all required(*) fields have been completed.
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