San Francisco Cable Car Chorus
Singing Valentine Order Form

1. Please provide the following contact information about your Valentine:

   * Name of Valentine
   * Name of Performance Place ex: House, Condo/Apt. name , Restaurant name, Company name, etc.
   * Performance Address San Francisco Bay Area
   Apt. or Room No.
   * Cross Street
   * Parking Information
   * City San Francisco and Bay Area
   Performance ZIP Code
   * Performance Place Phone

2. The cost of the Singing Valentine depends on the TIME WINDOW:

   $50.00: Two love songs, plus a warm, fuzzy teddy bear as a memento, while supplies last.

   Add $10.00 for a specific 20 minute TIME WINDOW. If you want the delivery at a specific time (such as 2:00 PM), we will do our best to honor your request, but we really need about a twenty minute time window such as, 1:50 PM to 2:10 PM (10 minutes on either side of the desired time) to allow for parking and preparation.

   On the other hand, if a specific time window does not apply, we can deliver the singing Valentine within a two hour  (or more) time window you specify, such as, between 1:00 and 3:00 PM. without additional charge.

   The pricing will reflect the time restriction you impose.

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   Desired day: Friday, or Sunday

   Desired TIME WINDOW:
    1:00 PM to 9:00 PM

   * TIME:

   * TIME WINDOW: 20 min. 2 hour+
   Both of these options are based on the Time given, above
   Additional instructions may be given in item 5, below.

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3. * Will you be present at the performance? Yes No
   

4. If you will NOT be present at the performance, please provide a contact name and phone number for the delivery day and time.
   

5. * Tell us how you or an assistant will direct the Quartet to set up the performance: Will it be a surprise? If at work, room number, supervisor name, etc. If at home, how to ensure Valentine is at home for performance. If at restaurant, where seated, who will meet us? If it is a surprise, how can we help to maintain it to the last?

   
   

6. Please provide information about you:

   * First Name
   * Last Name
   * Street Address
   Apartment or Room No.
   * City
   * State
   * Zip Code
   * Day Phone w/Area Code
   Night Phone w/Area Code
   Cell Phone w/Area Code
   * Primary E-mail address

7. How did you hear about us?

   Singing Valentine Flyer
   San Francisco Singing Valentine Web site (www.sfcablecarchorus.org/valentine/)
   SINGINGVALENTINES.COM Web site
   Singing Valentine Business Card
   Word of mouth

8. Would you like to sing with us on Wednesday nights? Yes No
    

9. * How do you intend to pay for your Singing Valentine?

   By local Check or Money Order through the mail
           Send instrument to: SF Cable Car Chorus, c/o Fred Merrick, 1623 12th Avenue, San Francisco, CA 94122
   By Credit/Debit Card payment on our web page
           See link to Credit/Debit Card Order page on Confirmation Page after Submission of this form.
   If name on the Credit/Debit card is different from above ordering customer name, please enter here:

   NOTE: Whether or not you are paying by credit/debit card, when you click on the SUBMIT FORM button (CLICK IT ONLY ONCE), it may take more than a few seconds to process your order. Please wait patiently for confirmation. PRINT OUT THE CONFIRMATION PAGE AS YOUR RECEIPT. If you realize after submission that you have made a mistake, simply return to this page and submit a new order, providing your billing name and any changed items, with explanation, if necessary, in Box 5. If you encounter any further difficulty, E-mail or call Jerry at 415-928-6623.

   for SFCCC only: Name of submitter

Thank you very much for your order. We will be in touch with you as needed.