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Max the Mouse "Singing E-mail" Order-Form

*IMPORTANT: Please fill in the information that applies and click on "Send Order" at the bottom when you finish. The payment-page will appear after that.

When should we send this "Singing E-mail"? (month and date)
Who is this "Singing E-mail" going to? (first and last names)
Where do they live? (city and state)
Are they male or female?
What's the occasion? (If no special occasion, what is telegram for?)
If this is for a birthday, how old will they be? (If you don't know the age or you don't want it mentioned, just leave it out!)

For Anniversary greetings only, how long have they been together?
What style of music would you prefer?
Optional: Spoken message or funny things you want narrated during the song. (20 words max)

What is your full name?
Are you male or female
Your relationship to the recipient?
Your phone number? (include area code)
What e-mail address should we send this telegram to?
Please confirm the e-mail address in the line above
What is your e-mail address
Please confirm your e-mail address