RECIPIENT INFORMATION
 

First Name


Last Name


Delivery Street Address


City, State, Zip

,   

Day-time Telephone *


Cell


E-Mail

 

(So we may send a picture)
Delivery Date *

Tuesday, February 14
I would like to make special arrangements for a different date or time (before 9 a.m., after 6 p.m., etc).

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!

 

Referred by

Requested Singer

(If available)

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 *




(6:00 p.m. +)

Personalized Valentine Message
(Limit 350 characters.)


 
PURCHASER INFORMATION
 

First Name


Last Name


Street Address


City, State, Zip

,   

Telephone

Best # to Call *




ext.

*Please mark the best number for us to reach you.

Purchaser's E-Mail address


PAYMENT INFORMATION

Pay by

Cash    Check    Credit Card


 


Please mail personal (or business) check made payable to "Oceanaires" to:

SANTA MONICA OCEANAIRES
c/o Ken Scholtz
2821 Anchor Avenue
Los Angeles, CA 90064

 

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.