SingingValentines

We look forward to being a part of a truly special memory for your loved one. Please complete the information below to ensure that we have all of the details we need to deliver your Valentine.
Important: Due to the short lead time and current schedule, some timeslots may not be available. We will contact you shortly via e-mail to confirm your order or by phone to request alternate scheduling if your chosen time window is not available. If you have any questions, please call the Valentine Hotline at (984) 999 - 0246

Your credit card payment will only be authorized at this time and will not be charged until delivery is complete.
Sender's Information
- Provide a mobile (cell) number if possible. To avoid spoiling a surprise delivery, we will try this number first when confirming details or reporting delivery problems. Plan to be available to receive a call during your Valentine's delivery window so we can contact you if there are any questions.
Full Name*

First NameLast Name
E-mail*
This is the e-mail we will send a confirmation to.
Home Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Mobile Phone

Area CodePhone Number
How did you hear about us?
Friend's Name
Member's Name

Valentine Delivery Options

Please note that the time you select below represents the middle of your delivery window unless you choose a time near the start or end of the available delivery times. As an example, if you select 2pm on the 14th with a 4hr delivery window, we will make every effort to deliver your Valentine between noon and 4pm. However, if you specify 9:30am with that same 4hr window, it will be delivered between 9am and 1pm. For more information on choosing a delivery time option, please consult our answers to Frequently Asked Questions.
Payment Option

PayPal / Credit CardCash / Check
Important Info Regarding Cash / Check Payments:

Once you have completed and submitted this form, you will receive an e-mail with your order details. Please print this e-mail and include it with your payment. Please make checks payable to Heart of Carolina A Cappella. Payments and forms may be given to a chorus member, or Checks may be mailed to:

Heart of Carolina A Cappella
PO Box 110514
Durham, NC 27709
Delivery Type*
Delivery Date / Time
Nbr. of Roses
1 Rose is included with the Singing Valentine. Additional Roses $5 each. NOTE - disregard for Skype/Phone delivery option.
Promo Code
If you have a promo code, enter it here
Discount
Delivery Details

Please provide information that will help us locate your loved one quickly. For workplace deliveries, it is helpful to have the name and phone number of a co-worker who can escort the quartet to the recipient's desk or work area (if allowed) and possibly arrange for an "audience".

Location Reminder: please see our delivery service area map on the hcamusic.org/valentine landing page. If you would like to see if delivery outside this area is possible, please contact us at (984) 999 - 0246.
Phone Delivery Details

Phone deliveries feature a 2hr delivery window. Please provide the specific number to call, and indicate whether you'd like us to do an audio-only, Skype video (non-iPhone), or FaceTime video (iPhone) delivery.
Phone Number to Call for Delivery

Area CodePhone Number
Phone Delivery Method

SkypeFaceTimeAudio Only
Phone Instructions (any other information we should know before we call to deliver the Valentine)
Location Name
(Home Delivery, Business Name, Apt. Complex Name, Etc.)
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Instructions (times to avoid, major intersections, nearby landmarks, on-site contact or receptionist, special requests, etc.)
Preferred Quartet
Recipient Information
- Be sure to specify the recipient's first and last name. If you want the recipient to be addressed on the card using anything other than their first name, be sure to specify it in the "Message" field. (i.e. Dear Pookie)
- We are happy to sing for groups such as a small office or classroom, but you may also specify up to three recipients to receive their own rose and card with your personal message by using the "No. of roses" purchase option above.
- If you have a large office with multiple floors/work areas and would like us to walk around and sing in up to 3 different spaces, you can purchase our "Serenade your staff" option.
Number of Recipients
A Rose & Card for each additional recipient can be purchased separately
Recipient Name
First & Last
Message
Recipient Name 2
Message 2
Recipient Name 3
Message 3
Important Info Regarding Credit Card Payments:

All Credit Card payments are processed by PayPal. Once you click the Submit button below, you will be directed to PayPal to complete the transaction. However, you do not have to have a PayPal account in order to complete payment. If you do not have an account, and do not wish to create one, simply select the Pay with a debit or credit card option located below the PayPal login section on the right side of the payment screen.
Early Bird Discount
Total
PayPal Total

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