Singing Valentine Order Form

Please make sure that we can deliver the order in the wide area bordering approximately at Otsego/Plainwell (North), Lawton/Paw Paw (West), Gailsburg/Augusta (East) and Vicksburg/Schoolcraft (South). For any other place please call 345-7227 or 501-7464 to confirm.

Deliver Singing Valentine to:

Name on the card:

Delivery address:

City:

Please choose the time (check the box):

Tuesday 2/14

9am -1pm

1pm - 5pm

5pm - 9pm

Specific time 1 hour interval:

Singing Valentine from:

Name:

Address:

City:

Phone (to contact if we need to correct the delivery time):

E-mail

Additional comments, detailed directions or special requests:

For more information or if you have a special request, please, call:

John Fair (269) 345-7227

Alexander Boltenko (269) 501-SING (501-7464)

Mail your check or Money Order for $40.00 payable to "Kalamazoo Chapter SPEBSQSA" before Feb.12, 2005 to:

Singing Valentines
c/o Alexander Boltenko
129 N Arlington St.
Kalamazoo MI 49006-4460

Main page

Hit Counter