For presentation to your loved one in Allenstown, Auburn, Barnstead, BEDFORD, Boscawen,
Bow, Candia, Canterbury, Chichester, CONCORD, Contoocook, Dunbarton, Epsom, Goffstown,
Hooksett, Hopkinton, Loudon, MANCHESTER, Pembroke, Penacook, Pittsfield, Suncook.

Delivered by a Barbershop Quartet from the Concord Coachmen Chorus, along with a
song or two, a fresh rose, and a digital photograph to remember it by.  

One day only!! Tuesday February 14, 2012.  Order now – the supply is limited.

GIVER’s Name (first and last) ____________________________________________

Cell or phone # ___________________________________

Email _________________________________

RECIPIENT’s Name (first and last) ________________________________________

Either Work Business or Building Name __________________________________

Street Address and Floor _______________________________

City ______________________________________

Or Select Home Street Address_________________________________________

City ______________________________________

Recipient’s known availability on Valentine’s Day 2/14/12 will be
between_________am/pm and __________AM/PM.  Known absences during
that  period, say for lunch, are between ________ and _______

PREPAYMENT is required by noon, Saturday February 11, at 33 Hemlock Drive,
Candia, NH 03034.

SUBMIT YOUR RESERVATION NOW.... the earlier the better.
Best: to (sending ALL the information requested on
this form, or the same form copied from our website at )
Next Best: call (or leave a callback message for) Joe at (603) 483-8295, and he’ll take
down your information.
Dicey If You Delay: mail form and check to Candia address above.
Make check payable to “Concord Coachmen”.

PRICE  A mere $39 for a rose, a photo, and a four part
harmony expression of your love. Wow!

The Concord Coachmen Chorus is a non-profit institution, founded in 1956.  We are one of over
800 choruses in the Barbershop Harmony Society – the largest men’s singing organization in
the world.