Author: Reimer

February 14, 2013
________________________________
Name of person purchasing valentine
________________________________
Contact phone number (purchaser)
Text q Yes q No
________________________________
Contact e-mail (purchaser)
________________________________
Name of person to be sung to
________________________________
Address to sing to
________________________________
Address (2)
PLEASE COMPLETE THE INFORMATION ON THE BACK OF THIS FORM.
Time Preference
q 8:30 a.m. – 11:30 a.m.
q 12:30 p.m. – 3:30 p.m.
q 5 p.m. – 8:00 p.m.
We will personalize a message in a card for you:
________________________________
________________________________
________________________________
Any additional comments or Information (including special directions):
________________________________
________________________________
________________________________
STUDENT CONTACT NAME
We will do the best we can to help with your special requests within the limits of time and availability.
A group of singers from PVHS will sing a medley of songs, present a rose and a card.
A student will contact you via text or phone call to let you know the approximate time that they will be presenting the Singing Valentine.
CIRCLE ONE
Card/Rose/Song Cost: $25.
Song Only Cost: $15
Indicate Area of Performance
q Hurricane
q Washington
q Washington Fields
q Red Cliffs
q Little Valley
q Bloomington Hills
q Bloomington
q St. George Downtown
q Green Valley
q Dixie Downs
q Santa Clara
q Ivins
q Other _______________
__________________________
__________________________

February 14, 2013
________________________________
Name of person purchasing valentine
________________________________
Contact phone number (purchaser)
Text q Yes q No
________________________________
Contact e-mail (purchaser)
________________________________
Name of person to be sung to
________________________________
Address to sing to
________________________________
Address (2)
PLEASE COMPLETE THE INFORMATION ON THE BACK OF THIS FORM.
Time Preference
q 8:30 a.m. – 11:30 a.m.
q 12:30 p.m. – 3:30 p.m.
q 5 p.m. – 8:00 p.m.
We will personalize a message in a card for you:
________________________________
________________________________
________________________________
Any additional comments or Information (including special directions):
________________________________
________________________________
________________________________
STUDENT CONTACT NAME
We will do the best we can to help with your special requests within the limits of time and availability.
A group of singers from PVHS will sing a medley of songs, present a rose and a card.
A student will contact you via text or phone call to let you know the approximate time that they will be presenting the Singing Valentine.
CIRCLE ONE
Card/Rose/Song Cost: $25.
Song Only Cost: $15
Indicate Area of Performance
q Hurricane
q Washington
q Washington Fields
q Red Cliffs
q Little Valley
q Bloomington Hills
q Bloomington
q St. George Downtown
q Green Valley
q Dixie Downs
q Santa Clara
q Ivins
q Other _______________
__________________________
__________________________

February 14, 2013
________________________________
Name of person purchasing valentine
________________________________
Contact phone number (purchaser)
Text q Yes q No
________________________________
Contact e-mail (purchaser)
________________________________
Name of person to be sung to
________________________________
Address to sing to
________________________________
Address (2)
PLEASE COMPLETE THE INFORMATION ON THE BACK OF THIS FORM.
Time Preference
q 8:30 a.m. – 11:30 a.m.
q 12:30 p.m. – 3:30 p.m.
q 5 p.m. – 8:00 p.m.
We will personalize a message in a card for you:
________________________________
________________________________
________________________________
Any additional comments or Information (including special directions):
________________________________
________________________________
________________________________
STUDENT CONTACT NAME
We will do the best we can to help with your special requests within the limits of time and availability.
A group of singers from PVHS will sing a medley of songs, present a rose and a card.
A student will contact you via text or phone call to let you know the approximate time that they will be presenting the Singing Valentine.
CIRCLE ONE
Card/Rose/Song Cost: $25.
Song Only Cost: $15
Indicate Area of Performance
q Hurricane
q Washington
q Washington Fields
q Red Cliffs
q Little Valley
q Bloomington Hills
q Bloomington
q St. George Downtown
q Green Valley
q Dixie Downs
q Santa Clara
q Ivins
q Other _______________
__________________________
__________________________