Mother's Day Quartet Order

Please sing to:

Recipient's Name

This is a required question

Who is my:

Wife / Girlfriend / Mother / Mother in Law / Friend / Office staff / Teacher / Coworker / etc.

This is a required question

Go to this address:

The location where the recipient is expected to be at time of delivery

This is a required question

Unit # / Suite #:

This is a required question

City, State, Zip:

This is a required question

This location is:

Please select one

This is a required question

Are there any special instructions, obstacles or impediments to easily getting in?

Please describe special situations, if any. Otherwise state "None"

This is a required question

Please write the following message on my Mother's Day Card:

Write a nice message to your Mom

This is a required question

E-mail a photo of the event to the recipient at:

Recipient's e-mail address:

This is a required question

And also e-mail a copy to me at:

Sender's e-mail address

This is a required question

Pricing and Delivery Options

Delivery Date: Sunday, May 8th, 2016

Morning (at or after 8 AM)
Noontime
Afternoon
Evening, (at or before 8 PM)

This is a required question

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)

This is a required question

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!

This is a required question

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

This is a required question

This awesome Mother's Day Greeting is being sent by:

Name of Sender:

This is a required question

Sender Address:

This is a required question

City, State, Zip:

This is a required question

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.

This is a required question

Payment method:

This is a required question

If a Credit Card is selected above, please provide Credit Card Number:

This is a required question

Credit Card Expiration date:

This is a required question

Credit Card Verification Number:

C'mon you know what we mean. (That 3 or 4-digit little printed number on your card).

This is a required question

Name of the Credit Cardholder, if different:

This is a required question

Credit Card Billing Address, if different. - If not, indicate "Same":

This is a required question

City, State, Zip:

This is a required question

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.

This is a required question

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.