Test Form Your InformationFirst Name *Last Name *Email Address *You will receive a confirmation of your order at this email address. It is also the email we will use to communicate with you, so please ensure it is typed correctly and is one that you frequently check.Phone Number *In case we need to call or text you on the day of the Valentine deliveryRecipient InformationName *Relationship to youStreet Address *The address where the recipient of your Singing Valentine will be during the time you request. Please include room or apartment numbers if necessary.Apartment, suite, etcCity *Location type *Private residenceBusinessRestaurantOtherIf other, please describeDelivery instructionsIs there anything we need to know about getting into the location above?Song Choice and Delivery TimeSong Choice *L-O-V-E (Nat King Cole)Happy Together (The Turtles)Annie's Song (John Denver)When should we surprise them? *Hours-120102030405060708091011Minutes-0030AMPMChoose your preferred time between 5-8pm on February 14 for us to surprise your loved one with a Singing Valentine. We will contact you to confirm the time.What should we write in the card? *This Valentine comes from you, so we want the card to say what you want it to say.0 / 180Anything else we need to know?Payment *Your payment of $50 is due now. Please select a payment option below.Submit
