Singing Valentine
                        Order Form

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What is a Singing Valentine?  
            
               We will send an official Barbershop Quartet, in appropriate attire, to an office, home, class room, restaurant or any other place in the area on Friday, February 12, between 8 a.m. and 8 p.m., Saturday, February 13, between 8 a.m. and 8 p.m., and on Valentine's Day, Sunday, February 14, between 1 p.m. and 6 p.m.  

                              
            
              The Quartet will arrive unannounced and seek out the person.  They will sing a special love song and present a long stemmed rose, a lovely valentine card naming the sender, and a Polaroid or digital photograph of the event. 
            
              The Quartet has songs appropriate for either male or female recipients.

Order your Singing Valentine  NOW!

Date (Friday, February 12th,  Saturday, February 13th or Valentine's Day, February 14th): Friday, February 12 Saturday, February 13 Sunday, February 14  

Deliver a Singing Valentine to: Sex: Female Male

How can we identify the recipient? (color of hair, height, etc.):

Where (to what address) shall we deliver the Singing Valentine?:   

If required, exact directions to get to the above address: 

If needed, what is the exact location of the recipient at the above address: floor/room number/location within room/etc?  Is there someone, whom we may ask for, who could take us to the recipient?

If the delivery location is a restaurant what is its telephone number?
 

Valentine details and cost:

Our basic Singing Valentine consists of:
      One song, a long-stem rose, a signed card, candy and a Polaroid or digital photograph
                                 all delivered within a 4-hour window for a basic cost of $35
                                                                
        Do you want a   Polaroid or  digital photograph of the event?  
        If you selected a digital photograph please enter email address to which digital photograph shall be sent: 

Enter Time frame for delivery of Singing Valentine:     
                                                         between - a.m. p.m. and - a.m. p.m.
                                                             or at exactly - a.m. p.m.          
         

     If delivery window above is 4 hours or more skip to Extras below:

          if delivery window above is 2 to 4 hours                                                Add $  5
          if delivery window above is 30 minutes to 2 hours                                  Add $10
           if delivery window is an exact time                                                           Add $20  
        

Extras:                                               Second Song                         Add $10
                                                                                 Second Rose                         Add $ 5
                                                                                 Second Card & Candy         Add $ 3

       Notification before delivery:   If you want to be present during the delivery, give us a telephone number and the number of minutes in advance of the delivery that we shall call you.

                  Telephone #   Number of minutes before      Add $ 2           
                                                                                                     
                                                                                Total based upon your choices:     $

Additional questions or comments pertaining to your Singing Valentine order:
                                                  

Message:
                                  (How should the card be signed? - - - briefly)

Ordered by:   
Telephone # (day):    Evening:    Alternate or cell telephone:
                            ( in case we need to reach you for some reason)

Email address to confirm receipt of order:

Please Note:  We will send you an email message when we have received this electronic order. 

Payment instructions:                       

                        Your payment must be received before the requested time of delivery or your order will not be delivered. 

                        You can pay: in person
                                              send a check or
                                              pay using your credit card. 

                        Detailed procedures for payment will be on the next screen after you "Submit" your order.  
 
Thank you for your order,

Little Apple Chorus