JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2023 Singing Valentines
Order form for 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Deliver to: Name
*
Your answer
Deliver to: Address
*
Your answer
Deliver to: City
*
Your answer
Deliver to: Zip
*
Your answer
Delivery Date
*
February 13
February 14
One Rose or a Dozen
$65 - a rose, a card, two love songs
$125 - dozen roses, a card, chocolates, 2 songs
Clear selection
Delivery Time (2 hr window please)
*
Your answer
Delivery Instructions
*
Your answer
What message would you like on the card?
Your answer
Buyer Name
*
Your answer
Buyer Phone Number
*
Your answer
How did you hear about us?
*
Your answer
Payment Method:
*
Paypal / Credit Card
Venmo
Check - Payable to Greensboro Tarheel Chorus and mailed to 6039A Coble Church Rd, Liberty NC 27298
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
