2017 Singing Valentine Form

Order your Singing Valentine's now! There's no better way to spread love out in the world than this. Our quartets will deliver 3 love songs, a flower and a card to the sweetheart of your choice. Order now for best availability! Deadline to Order is February 10, 2017 at 5:00 p.m.

*This year quartets are available only on Tuesday, February 14. Order early, availability is limited. Cost of $50 includes singing quartet, flower and custom card delivered within a fifteen mile radius of Santa Rosa High School. Deliveries outside of this area may incur an additional charge to cover the travel costs.

Purchaser Name *

First & Last

E-mail *

Phone Number *

Area Code Phone Number

Recipient

Recipient Name *

First & Last

Delivery Street Address (Include Nearest Cross Street) *

City *

Phone Number

Area Code Phone Number

Date and Time Window Requested

Please provide a 2 hour time window

Gift Card Message

Additional Information / Special Requests

My Products

Singing Valentines $ 50.00

SRHS Teacher & Staff Valentine $ 25.00

2017 Singing Valentines