Song of Atlanta Singing Valentines 2012 - Tuesday, February 14th

* Buyer's Name:
 
* Buyer's Email:
 
* Buyer's Phone Number in case we need to reach you (if more than one number listed, please identify home, cell or work & only give numbers that are safe to contact you at):
 
* Relationship to Buyer:
 
* Name of Recipient:
 
* Address where Recipient will receive Singing Valentine:
 
 
 
* Brief directions including closest cross streets and any additional info if the location is difficult to enter or find:
 
 
 
 
 
 
 
* Contact Name & Phone Number on Delivery day:
 
 
* Phone Number of Recipient if receiving phone message:
 
* OPTIONS: Please check/select one time slot:
 9am - 1pm
 1pm - 5pm
 5pm - 9pm
* Please check/select song of choice
 I Love You for Sentimental Reasons
 It Had to be You
* Personal Message you would like given to your Valentine:
 
 
 
 
 
 
 
Prices & Selection*Check out our Special Offer below!
 1 song performed in person - EARLY CUPID SPECIAL — if ordered by January 31st In person (includes song, rose, candy and personalized card) — $45 (+ PayPal fee if paying via PayPal)
 1 song performed over the phone — EARLY CUPID - a quartet will call your Valentine — $15 (+ PayPal fee if paying via PayPal)
 CUPID’S REGULAR PRICE — if ordered February 1st-February 13th — $50 (includes song, rose, candy and personalized card)
 ACROSS THE MILES PRICE — if ordered February 1st-February 13th — $20 (a quartet will call your Valentine and deliver a song over the phone)
Payment
 If paying via PayPal from our website, please indicate by checking here (or indicate if mailing payment).
If preferred, you may mail your payment along with this form to: SOA Singing ValentinesPO Box 682992Marietta, GA 30068Checks should be written out to Song of Atlanta.For more info or to order, please call 404-556-6117or email your order at singingvalentines@live.com
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