Flo Collective Song Request Page

Shyreeta's - Singing Telegram Booking Form

Let's come toghter to help make this day an unforgettable memory!
Your Name*

First NameLast Name
Your Phone Number

Area CodePhone Number
Your E-mail*
Date

MonthDayYear
Date
Please enter performance location below

(Where the performer will arrive)
Delivery Address for Telegram *
City of Delivery *
Business or Home? (Please approve any restaurant requests with their management) **

BusinessResidence
Occasion **
Requested Date

MonthDayYear
Date
Time

:HourMinutesAM/PM Option
Is delivery date flexible? *

YesNoOther
Indicate a specific song or type of song you'd like to request*
Need help deciding on a song selection? Please indicate, you;d like guidance/help.
Is delivery time flexible? **

YesNoOther
Recipient's Name **
Who is the telegram From? *
Your Name and Relation to Recipient **
Will You Be At The Performance?*

YesNo
If not present a performance please provide a contact person and their phone number. *
Contact Number in Case of Emergency or Unexpected Delay *
I agree to receive text messages for coordinating this Singing Telegram Service

YesNo
Enter Questions Here
If you're satisfied with the information entered, please click SUBMIT now. You may also return to this link later or email us via shyreetamusic@gmail.com if you'd like to edit your selections.

Thank you for your time and interst!
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Shyreeta's - Singing Telegram Booking Form