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Mail
Order Form
Singing Valentines 2012 Print This Form then Mail To: Culpeper Minutemen Singing Valentines c/o Pete Magee 906 Woodcrest Loop Culpeper, VA 22701
All questions can be answered by calling: 703-819-7133 (Pete)
Deliver
(check one): [
] $50 Package
to: Recipient Name:
____________________________________________
Nickname ? ___________________ Relationship
to sender: _______________________ Delivery
address w/zip code ____________________________________________________________ ____________________________________________________________________________________
Exact
delivery locale description: (residence, office – 2nd floor rear,
restaurant – in the kitchen, school room 678, etc.) _____________________________________________________________________ __________________________________________________________________________________ Time
Preference: [ ] 9am-Noon
[ ] 11am-2pm
[ ] 1pm-5pm [
] 4pm-7pm [
] 6pm-9pm Date
Preference:
[ ] Feb. 12 (Sun) [
] Feb. 14 (Tues) Name
and Greeting exactly as you would like it on the card:
___________________________________ ____________________________________________________________________________________
____________________________________________________________________________________ Information
about YOU: (In case we need clarification) Name:
_____________________________ Phone
: Day ________________Evening
_____________ E-mail
address: _____________________________________________ Special
Instructions or things we should know ? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ The
Fine Print Due
to limited quartet availability, all orders are subject to acceptance (first
come, first served). Orders will be only
filled when accompanied by payment and received not later than two days prior
to the desired delivery date. Make
checks payable to “The Culpeper , VA Chapter” and mail to the above address.
Offer limited to Culpeper Virginia area (Culpeper County, Madison County, Orange
County). Call about other
locations. Full refund if we are unable to deliver due to accident,
illness or other cause beyond our control. No refund if we show up and the
recipient is not available at time/place indicated above.
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