Singing Valentine-Grams!

Use this form to order a Singing Valentine Gram.

Sender Name*
Enter your name here.
First Last
Email*
For sending you a confirmation
Your Phone*
In case we have questions.
Number of Valentines Grams
Please let us know how many Valentine's Grams you would like to send. You can send up to five on this form. If you would like to send more, just complete another form.
Recipient #1 Name*
Recipient #1 Phone*
Song for Recipient #1*
Date & Time Window for Recipient #1*
On Valentine's Day additional $5.00
Price: $5.00
Message to Recipient #1*
Use this field to let us know your message to your recipient, and also any other important info, like limitations of availability within the given window, time zone of recipient, pronunciation of your name and/or recipient's name, pronoun preferences of recipient, etc.
Recipient #2 Name*
Recipient #2 Phone*
Song for Recipient #2*
Date & Time Window for Recipient #2*
On Valentine's Day additional $5.00
Price: $5.00
Message to Recipient #2*
Use this field to let us know your message to your recipient, and also any other important info, like limitations of availability within the given window, time zone of recipient, pronunciation of your name and/or recipient's name, pronoun preferences of recipient, etc.
Recipient #3 Name*
Recipient #3 Phone*
Song for Recipient #3*
Date & Time Window for Recipient #3*
On Valentine's Day additional $5.00
Price: $5.00
Message to Recipient #3*
Use this field to let us know your message to your recipient, and also any other important info, like limitations of availability within the given window, time zone of recipient, pronunciation of your name and/or recipient's name, pronoun preferences of recipient, etc.
Recipient #4 Name*
Recipient #4 Phone*
Song for Recipient #4*
Date & Time Window for Recipient #4*
On Valentine's Day additional $5.00
Price: $5.00
Message to Recipient #4*
Use this field to let us know your message to your recipient, and also any other important info, like limitations of availability within the given window, time zone of recipient, pronunciation of your name and/or recipient's name, pronoun preferences of recipient, etc.
Recipient #5 Name*
Recipient #5 Phone*
Song for Recipient #5*
Date & Time Window for Recipient #5*
On Valentine's Day additional $5.00
Price: $5.00
Message to Recipient #5*
Use this field to let us know your message to your recipient, and also any other important info, like limitations of availability within the given window, time zone of recipient, pronunciation of your name and/or recipient's name, pronoun preferences of recipient, etc.
When you click "Submit" below, you will be taken to the payment page at PayPal. We use PayPal as our online credit card processor, accepting all major cards. You do NOT need a PayPal account to make a payment– simply click on “Don’t have a PayPal account?” below the PayPal login to pay as a guest.
Total
$0.00
Comments
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