2017 Singing Valentine Form

2017 Singing Valentines
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 CodePhone Number
Recipient
Recipient Name*
First & Last
Delivery Street Address (Include Nearest Cross Street)*
City*
Phone Number

Area CodePhone Number
Date and Time Window Requested
Please provide a 2 hour time window
Gift Card Message
Additional Information / Special Requests
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Singing Valentines$50.00

SRHS Teacher & Staff Valentine$25.00
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2017 Singing Valentines