Singing Valentine Form

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Thank you for purchasing a Singing Valentine from Maquoketa High School Chamber Choir. After you've submitted the form, please send the amount for the valentine to the High School office. Make checks payable to Maquoketa High School, and put in the memo, "Singing Valentine" Thank you! Joel Hagen

Name(s) of Person sending Valentine *

Name(s) of Recipient of Valentine *

Location & Time

Phone Number of Recipient (If it's an over the phone email)

Email Address to send a photo of the valentine

Please choose one option *

Rose $15

Balloon $15

Both a Rose and Balloon $20

Over the Phone $5

Required

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