Singing Valentine Order Form
Singing Valentine Order form
On what date do you want the Valentine?
Thursday, February 13, 12 p.m. to 7 p.m.
Friday, February 14, 8 a.m. to 7 p.m.
Choose which time window the Valentine can be delivered.
$45 Feb 13 - 12:00 PM - 4:00 PM
$45 Feb 13 - 4:00 PM - 7:00 PM
$45 Feb 14 - 8:00 AM - Noon
$45 Feb 14 - Noon - 4:00 PM
$45 Feb 14 - 4:00 PM - 7:00 PM
The individual's name receiving this Valentine?
What is the recipient's gender?
How can we identify the recipient?
What is the street address to which the Valentine shall be delivered?
What is the town or city? NOTE: The delivery must be within a 25 mile radius of Manhattan, Kansas.
If helpful, what are the exact directions to get to the location of the Valentine recipient?
What time would be the "perfect" time to deliver the Valentine (Note - we cannot guaranteed the time other than the window, but we will try to schedule accordingly)
Would you like notified in advance of the delivery?
If you wanted to be contacted, please provide the telephone number to reach you.
What message do you want us to put on the card?
What email address shall we send a digital photo of the presentation?
Who are you? In other words, who is ordering this Valentine?
If we have questions about your order, what is the best telephone number for us to call to talk to you?
If the presentation will take place in a restaurant, what is the telephone number of the restaurant?
Thank you for your order. As soon as it has been reviewed at the Singing Valentine headquarters, you will receive an email message with instructions on how to pay for the Valentine using a credit/debit card or your PayPal account. For our information, please indicate how you heard about our Singing Valentine sales. Please check all that apply. Again, thank you.
Direct contact by a Chorus Member
Other - please specify below
A copy of your responses will be emailed to the address you provided.
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