Gold Rush Chorus
Placerville, CA

Singing Valentine Reservation

A Singing Valentine is a wonderful way to surprise and encourage just about anyone. Not only is it appropriate for your sweetheart, consider sending one to parents, grandparents, children, grandchildren, special friends, teachers, employees, and bosses. We deliver to the location of your choice which includes homes, businesses, schools, and restaurants.

Singing Valentines are available in most areas of the United States and in some foreign countries. Just visit SingingValentines.com to locate a chapter near your distant loved one.

By filling in the form below, you are requesting a Barbershop Quartet to deliver a Singing Valentine to someone special in your life. The quartet will sing two songs and will present a long stemmed red rose along with a Valentine card with your personal message.

By clicking the submit button below you agree to donate $35 for this service which is available within 8 miles of Highway 50 from El Dorado Hills to Pollock Pines.

You may contact us at any time by sending an E-Mail to valentines@goldrushchorus.org

From:

Your Name:
Your E-mail address:
Explain how we can contact you confidentially:

Indicate by telephone or email.

Deliver To:

To Name:
Delivery Address:
City:
Detailed driving directions to the delivery location:
Delivery Date and Time:
Choose one or more times that will work for you.

Deliveries will be made within the time slot(s) you choose. If you need an exact time please note it in the comment area below. We will do our best to make it fit our schedule and we'll let you know.

Sunday February 12thTuesday February 14th
  
9am-10am
10am-11am
11am-noon
noon-1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
6pm-7pm
 9am-10am
10am-11am
11am-noon
noon-1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
6pm-7pm
Additional Comments:
Delivery day contact (opt):

If there is someone we can confidentially contact at the delivery location, please explain.

Internal Greeting Card Inscription

To: (Name or Nickname)
Message:
The delivering quartet will not see your message.
From: (Name or Nickname)

Payment (choose an option below)

Pay by MailPlease make your $35 check payable to: Gold Rush Chorus and mail it to:

Gold Rush Chorus
c/o 5449 Robert Rd.
Pollock Pines, CA 95726

Pay via PayPalUse your PayPal account to make the payment online
COD PaymentPlease enter in the box below who will have the payment to hand to our quartet

Please contact me How shall we contact you to arrange payment?

How did you
hear about
Singing Valentines?		 Check all that apply:

Personal contact
Bob Billingsley's Column
Newspaper ad
Newspaper feature article
Radio announcement
Window Poster
Counter ad at local business
Attended show and heard announcement
Repeat customer
Searched the Internet

Please enter the number 865214 in the box.

Click the button below to submit your request. You will be contacted confidentially as you instructed above.                    

We are a 501(c)(3) non-profit organization and a portion of your donation promotes vocal music in El Dorado County schools.

All comments and corrections to valentines@goldrushchorus.org