2018 Sho-Me Statesmen Singing Valentine Order Form
Fill out the form below to order YOUR Singing Valentine! For only $50, we deliver a card, a rose, candy, and a short medley of love songs from a handsomely dressed men's quartet on Wednesday, February 14.
To whom shall we deliver this Singing Valentine?
How would you like the card signed?
There is a pre-printed Valentine's message on the card; we will add a brief handwritten message for you. Include any desired terms of endearment, nicknames, etc.
Purchaser's relationship to Recipient
Sometimes it helps when delivering to have an idea of the situation...
Method of Payment
Thank you for your contribution...you are helping keep our unique form of harmony alive in the Springfield area. The price is $50.
PayPal - Use the PayPal Button on the Sho-Me Statesmen website
Cash - You may make payment of $50 at Peregrine Corporation, 1423 S. Enterprise, Mon. - Fri. 9:00 to 4:00. Payment must be received by 4:00 p.m., Feb. 13
Check - Same place, same deadline
Purchaser's phone number
We may have questions, including on the day of delivery. Please give us the best number to call (cell phones generally preferred)
Purchaser's e-mail address
Where shall we make the delivery?
Hint: Over the years, the most effective deliveries are at workplaces, although we also deliver to homes, schools, and restaurants
Workplace (including schools, if to a teacher)
School (if to a student)
Page 1 of 7
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service