Song Request Form

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* 1. Full Name

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* 2. What kind of music do you like?

Broadway Songs

Jazz Standards (Nat King Cole, Peggy Lee, etc)

50's and 60's Pop (Four Seasons, Sinatra, Elvis)

Comforting Songs (Amazing Grace, Ave Maria, You Raise Me Up, etc. )

I love all music - pick one for me!

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* 3. What is your email address

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* 4. If you are requesting this song for someone else, please include their email address here and anything else you would like us know about person or occasion.

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* 5. Anything else you'd like us to know?