To plan your move, fill in what you can of the following information:

Name:
Email Address:
Phone:
We will not give away or sell this address, nor fill your mailbox with junk mail, nor send 'cookies' to your computer.
We will use it only to contact you about your move.
Type of Instrument
Spinet/Console
(less than 42 inches)
Studio
(46 inches)
Upright
(48 inches or more)
Baby Grand
(Under 6ft)
Grand
6ft - 6ft,11 inches
7ft Grand 9ft Grand Spinet Organ Console Organ Other

From where will the instrument be moved?

Address:
City: State: Zipcode: Phone:
-----------------------
Contact Name
at that address:
Number of Steps Outside - Going Up _-_-_-_-_-_-_ Number of Steps Outside - Going Down
Number of Steps Inside - Going Up _-_-_-_-_-_-_ Number of Steps Inside - Going Down

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Describe the path TO the truck
(i.e. concrete, grass, flagstones, gravel)
and any other details - turns, narrow openings.

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Where is the instrument going?

Address:
City: State: Zipcode:
Phone:
Contact Name
at that address:
-----------------------
Number of Steps Outside - Going Up _-_-_-_-_-_-_ Number of Steps Outside - Going Down
Number of Steps Inside - Going Up _-_-_-_-_-_-_ Number of Steps Inside - Going Down
------------------------
Describe the path FROM the truck
(i.e. concrete, grass, flagstones, gravel)
and any other details - turns, narrow openings.

Type of payment: Cash Check Money Order Discover Not Sure