Mother's Day Quartet Order
Please sing to: *
Recipient's Name
Who is my: *
Wife / Girlfriend / Mother / Mother in Law / Friend / Office staff / Teacher / Coworker / etc.
Go to this address: *
The location where the recipient is expected to be at time of delivery
Unit # / Suite #:
City, State, Zip: *
This location is: *
Please select one
Are there any special instructions, obstacles or impediments to easily getting in?
Please describe special situations, if any. Otherwise state "None"
Please write the following message on my Mother's Day Card: *
Write a nice message to your Mom
E-mail a photo of the event to the recipient at:
Recipient's e-mail address:
And also e-mail a copy to me at: *
Sender's e-mail address
Pricing and Delivery Options
Delivery Date: Sunday, May 8th, 2016
Clear selection
Pricing Option *
Please select your price and accompanying delivery time Window
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!
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:
Clear selection
This awesome Mother's Day Greeting is being sent by:
Name of Sender:
Sender Address:
City, State, Zip:
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.
Payment method: *
If a Credit Card is selected above, please provide Credit Card Number:
Credit Card Expiration date:
Credit Card Verification Number:
C'mon you know what we mean. (That 3 or 4-digit little printed number on your card).
Name of the Credit Cardholder, if different:
Credit Card Billing Address, if different. - If not, indicate "Same":
City, State, Zip:
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.
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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