Telephone Order Form

Telephone Singing Valentines Order Form

* Indicates required field

How did you hear about us? *

Name of person submitting this form *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name of recipient *

First

Last

Phone Number *

Call time window (You can select more than one option). Please use pacific time. *

8:00 am - 10:00 am 10:00 am - Noon Noon - 2:00 pm 2:00 pm - 4:00 pm

Choose 1 song *

Let Me Call You Sweetheart Heart of My Heart My Wild Iris Rose

Your Message *

Questions? Please call our Singing Valentines coordinator,
Alex Silver: (949) 356-3122

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