Singing Valentine Order Form

Customer name: ____________________________ Date:______________
Address: ____________________________ City: ______________
Work Phone: ____________________________ City: ______________
Email: ____________________________  
RECIPIENT: ____________________________  
DELIVERY ADDRESS: [_] Residence [_] Business Surprise: [_] Yes [_] No
Delivery date: [_] Thursday [_] Friday
Approximate time: [_] 8am-12pm [_] 1pm-4pm or later
Special time:____________________________

Billing: $30

[_] Cash or Check – Hand to Quartet Before The Sing

[_] Check – Mail Check Beforehand – Check payable to GULF TONES CHORUS

Mail check to:
Sky Cunniff, 624 Breakfast Point Blvd, Panama City Beach, FL 32407

Info/Orders to: Mr. or Mrs. Cunniff – 850-624-0673

Backup phone: 850-381-5795

Special Instructions: ____________________________

How did you hear about us? TV – Radio – News Ad – Friend