Santa Monica Oceanaires - Singing Valentines Order Form

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RECIPIENT INFORMATION

	First Name
	Last Name
	Delivery Street Address
	City, State, ZIP	,
	Day-time Telephone
	Cell
	Delivery Date *	Tuesday, Valentine's Day, February 14 I would like to make special arrangements for a different date. Please specify special delivery instructions in the field below to help us coordinate your request. Please ensure we have a person to contact if we arrive and cannot find the recipient!
	Parking/Other Instructions/Contact Person	This is a space for special instructions: a person to meet or contact before the delivery, directions to the location, where to rendezvous with you, or questions you may have that we can answer when we call to confirm your order.
	Delivery Time Range *	9:00 a.m. - 11:00 a.m. 11:00 a.m. - 1:30 p.m. 1:30 p.m. - 4:00 p.m. 4:00 p.m. - 6:00 p.m.
	Delivery Message

PURCHASER INFORMATION

	First Name
	Last Name
	Street Address
	City, State, Zip	,
	Telephone	Best # to Call * Home Mobile Work ext. *Please mark the best number for us to reach you.
	Purchaser's E-Mail address

PAYMENT INFORMATION
	Paid by	Cash Check Credit Card


	Please mail personal (or business) check made payable to "Oceanaires" to: SANTA MONICA OCEANAIRES c/o Bob Wilson 12531 Rose Avenue Los Angeles, CA 90066 NEW!! If paying by credit card, please use PayPal "Buy Now" button on next screen!

The Santa Monica Oceanaires are a 501.C3 Charitable Organization, an official chapter of The Barbershop Harmony Society -
The Society for the Preservation Encouragement of Barbershop Quartet Singing In America.

A SINGING VALENTINE – FEBRUARY 14th