Virtual Singing Valentines Order Form
Street Address Line 2
State / Province
Postal / Zip Code
Please provide the name of the person receiving your Virtual Singing Valentine
Please tell us who the Virtual Singing Valentines is from (if other than yourself).
PERSONAL MESSAGE: The video we create for you will include a personalized message on a title slide just before the Singing Valentines song begins. Please provide us with a short message you would like to share with your friend/loved one.
( X )
Virtual Singing Valentine
Pay with PayPal
Debit or Credit Card
Credit Card Number
Please click one of the PayPal options to complete payment and
Should be Empty:
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