Recipient #1 Name

First Name

Last Name

Mailing Address

Date Needed by:

(###)

###

####

Do you want to include your own message?

Yes

No, you add an applicable message for me

Enter your message here.

Keep message less than 25 words

Recipient #2

First Name

Last Name

Mailing Address

Date Needed by:

(###)

###

####

Do you want to include your own message?

Yes

No, you add an applicable message for me

Enter your message here.

Keep message less than 25 words

Recipient #3

First Name

Last Name

Mailing Address

Date Needed by:

(###)

###

####

Do you want to include your own message?

Yes

No, you add an applicable message for me

Enter your message here.

Keep message less than 25 words

Check box to acknowledge

I understand that the card delivery time is dependent on the postal service and Connected by Heartbeat, LLC is not responsible for delays once the card has been mailed. Additionally, I confirm that all provided information is correct and final.

I understand and agree

Who Do You Want to Make Smile?

You have purchased our "Card Concierge" service.

Please fill out the form below, providing information for all 3 recipients.

Ensure all mailing addresses are accurate. We are not responsible for incorrect addresses, and we cannot provide reimbursements for customer errors.
Dates: Please set the "Date Needed By" at least 14 days in advance to allow time for processing and postal delivery.
If you provide text for the inside of the card, ensure it does not exceed 25 words for each card.
If you do not write a message, do not fret, we’ll write one for you.

Important:

Once submitted, changes cannot be made, so please double-check all details before submitting.
By submitting this form, you agree to our terms, which include understanding that Connected by Heartbeat, LLC cannot guarantee postal delivery dates once the cards are mailed.