Virtual Singing Valentines Order Form
Your Name
*
First Name
Last Name
Your E-mail
*
example@example.com
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide the name of the person receiving your Virtual Singing Valentine
*
Which song would you like us to send to the recipient?
*
Crazy Boutcha Baby (sassy and playful for a loved one or family member)
You're My Best Friend (upbeat, heartfelt message for a friend or loved one)
Please tell us who the Virtual Singing Valentines is from (if other than yourself).
PERSONAL MESSAGE: The video we create for you will include a personalized message on a title slide just before the Singing Valentines song begins. Please provide us with a short message you would like to share with your friend/loved one.
*
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Virtual Singing Valentine
$
25.00
IMPORTANT: Please select PAYPAL below when placing your order. We do not have a Venmo account at this time and are unable to remove it from the options below.
Pay with PayPal
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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