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Preliminary Order Information
(we will get additional information when we complete your order)
Required fields indicated by an asterisk *
Tell us about yourself
Your Name:
*
Email Address:
*
Your Home Address:
Your City:
Your State:
Your Zip:
Daytime Phone:
Evening Phone:
Cell Phone:
Delivery Information
Recipient's Name:
Recipient Delivery Address:
*
Name of Business or Building for delivery (if not home location):
City:
*
State:
*
Zip:
*
Desired Delivery Date:
*
Desired Delivery Time:
Morning
Afternoon
Evening
*
Please note: Due to our high order volume, we need as much scheduling flexibility as possible, especially on busy delivery days. Although we will do our best to accommodate your preference for a morning, afternoon, or evening delivery, we prefer as much as 8 hours flexibility during the business day. There may be an extra charge for delivery within a narrow time frame. Please call us at 502-368-SONG (502-368-7664) for more details.
Are you interested in an optional picture for $10? (Picture will be mailed within one week after Valentine delivery).
If you wish, we will personalize your card by writing your message and signature. How would you like your card signed?
Payment
I will pay with PayPal
I intend to pay with Mastercard, Visa, or Discover
Other
How did you hear about Singing Valentines?
Questions or Special Requests: