Singing Valentine Request

We're so glad you're interested in purchasing a Singing Valentine for someone special! A quartet from our chorus will serenade her or him with two beautiful songs, and deliver a dozen hand-poured chocolate roses and a card with a personalized message from you for as little as $50.

Please fill out at least the mandatory fields below (marked with an * asterisk) and then click Submit.

Sweetheart's First Name *

Sweetheart's Last Name *

Delivery Street Address *

Delivery City *

Delivery Zip

Company Name (if delivered at a business)

Date Preferred *

Delivery Time *

Start Time if requesting 30- or 60-minute window

Message for us to write on the card

Special Instructions

Buyer's First Name *

Buyer's Last Name *

Buyer's E-mail Address *

The email address you enter above will be used if we need to contact you prior to the delivery day and for sending your PayPal receipt if you pay with PayPal.

Buyer's Mobile Number (### - ### - ####) *

The phone number you enter above will be used if we need to contact you on the delivery day.

Contact Preference for day of delivery *

Payment Option *

Details for paying by credit card or sending your check in the mail will be provided on the Confirmation Page after you click Submit below.

Will you be present when we deliver your Singing Valentine? *

How did you hear about our Singing Valentines? *

If "Other," please explain

Would you like to be added to our mailing list? *

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