You are hereSinging Valentine Request Form

Singing Valentine Request Form

JUST 3 EASY STEPS

STEP 1: Fill out and SUBMIT this Order Form
We are scheduling deliveries in time blocks of 30 minutes, between 8AM and 9PM.

STEP 2: Press the "Send In Your Valentine Request" button.

We want to keep this a secret! So think about a good time for us to call you back!
For your protection, DON'T write credit card information directly on this site; this is not a secure server.

You will receive a follow-up phone call within 24 hours to confirm your details and arrange payment. We accept Paypal, credit cards or cash.

Your confirmation email/invoice will contain details for making the Paypal payment.

STEP 3: Just wait for your delivery day - A day the two of you will never forget!

OR CALL 859-255-1941 to leave a message.

NOTES

Please complete all fields - Incomplete information may delay or prevent your order from being processed.
Use your TAB key to move quickly between the fields.
If you have any questions while completing the Order Form, include them in the comments section below.

Do not include Credit Card information in this form - Your submission will be sent by standard email and security cannot be guaranteed

Sender's Full Name: *

Your phone Number (xxx-xxx-xxxx): *

Best time to call for confirmation: *

(We don't want to spoil the surprise)

Your mailing address: *

City: *

State: *

Zipcode: *

Your Email: *

Name of Recipient: *

Address of delivery: *

City of delivery: *

Earliest we can go on TUESDAY Feb. 14: *

Latest we can go: *

(Give us 3hrs minimum for planning)

Are we going to a home? workplace?: *

Please specify name of company if not at home:

Is there a Phone # at the delivery place (contact for security?): *

Brief Card Message (10 words or less): *

Special Instructions?:

Any Special Instructions? Do we need to check in at a front desk or at a Security Booth? Specific entry point, contact person?

Other Comments:

Please do not include any credit card information. This is not a Secure Server. For online Payment, please use PayPal Button on the Order Confirmation page that will appear after you send your order