Singing Telegrams Mr Powers Booking Form

Singing Telegrams
ABN 80 522 786 642

Mr Powers

Booking Form

Singing Telegrams Booking Form
ABN 80 522 786 642

There are THREE ways to PRE-order

1.
Press 'SUBMIT' below

2. Telephone: 0415 836 877

International Callers +612 415836877

Please fill in all fields marked with a

Deliver To

Delivery Name 1
(Include First & Surname)

Delivery Name 2

Occasion:

If 'Other' please specify

Age/Years

Delivery Details

Delivery Date:

Delivery Day

Delivery Time

Between: and
(2 hr Span Required, if different extra charges may apply)

Delivery /Venue Name

and

Delivery /Venue Address:

Delivery Suburb

Delivery State

Venue Phone No
(include area code)

Booking Name at Restaurant

Contact

Mobile/Cell of Contact

No. of People attending

approx.

Orderer's Details

Order Name

Relationship to recipient

Phone No (Incl Area code)

Fax No

Mobile No

Order Address

How did you find us?

By who

Package Details

Mr Powers Singing Telegrams--->more?

A Telegram that any other gift can't give. For that event where you want the recipient/s to never forget this occasion...and they won't!

* Indicate the "Mr Powers Singing Telegram" Package you want by selecting package 1, 2 or 3.
Then complete the details directly below the chosen package:

	PACKAGE 1 Mr Powers Singing Telegrams		PACKAGE 2 Mr Powers Character Courier		PACKAGE 3 Mr Powers - Corporate or Functions
Included in this package is:		Included in this package is:
A uniquely created Original Poem A Bouquet of Helium Balloons Party Treats Your Personal Message Card Chose one (1) Gift from the following: Autograph Bear Champagne Port Teddy Bear Chocolates Would you like additional gifts or services added to your package?		The Mr Powers Character Courier Sings a Song appropriate for the occasion Reads your Message Card aloud! ADD Extras -->View Gift Pics For ONLY an extra $35 each add any of the above gifts to this Teddy Character Courier Package Helium Filled Balloons Autograph Bear Elvis Glasses Teddy Bear Love Cuffs Chocolates Champagne Ball 'n' Chain EXTRA SONGS are $15 each		Are you wanting, A Stage/Floor Show Meet & Greets Other - eg tv
Select an event type Corporate Function/Occasion Private Occasion		Select an Event type Corporate Function/Occasion Private Occasion

Message on Card to Read: (Up to 50 words only)

Extra Details:
(Optional: Information which may be useful to the performer NOT ORIGINAL POEM INFO - please email information for poem to POET)

For Hen's OR Buck's Nights Only

Fiancé's First Name

Wedding Date

Payment Details

Credit Card type:
(Major cards accepted)

Expiration Date:

Cardholder's Name
(as it appears on the card)

Credit Card number:

Cardholder's street address

Cardholder's City

Cardholder's State/Province

Cardholder's Zip/Post Code

Cardholder's Country

Cardholder's Telephone

Credit card verification number

If M/CARD or VISA insert 3 digit ID on reverse of card

If AMEX insert the 4 digit ID listed on the front of your card

I would like to pay on the above credit card

The Full Cost Amount

$150 Deposit - Then the remaining Balance paid as CashOnDelivery to the Performer

* You MUST SIGN

**Terms & Conditions may apply depending on delivery situation ***All prices quoted are approximate and are subject to change.
A non-refundable deposit of $150.00 is required with each booking.

SYDNEY - NSW
PO Box 555
CONCORD NSW 2137
Sydney Australia
Telephone: 0415 836 877

MELBOURNE - VICTORIA
PO Box 1115
CARLTON VIC 3153
Melbourne Australia
Telephone: 0415 836 877

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