Pickup City & State*

Pickup Zip Code*

Delivery City & State*

Delivery Zip Code*

Promo Code

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Name*

First Last

Phone Number*

Email*

Are there steps/stairs involved in the move at the PICKUP location?*

Yes

No

How Many?*

Please note that for 4 or more stairs at the PICKUP location we will require pictures in order to provide you a quote. Please provide pictures below or send to [email protected]

Step Pictures

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Max. file size: 50 MB.

Please provide pictures of any steps/stairs at the PICKUP location.

Are there steps/stairs involved in the move at the DELIVERY location?*

Yes

No

Step Pictures

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Max. file size: 50 MB.

Please provide pictures of any steps/stairs at the DELIVERY location.

How Many?*

Please note that for 4 or more stairs at the DELIVERY location we will require pictures in order to provide you a quote. Please provide pictures below or send to [email protected]

Piano Type*

Piano Manufacturer*

Instrument Size*

Grands: Length (from the front of the keys to the longest part of the curve); Uprights: Height (from the floor to the tallest part of the piano)

Does your piano have a player?*

Yes

No

Piano Age*

What is your piano's approximate age?

Please check the boxes if you are interested in:

Piano Cleaning (inside) and or Polishing (outside)

Piano Storage

Piano Restoration (Rebuilding)

Piano Repair and Regulation

Piano Refinishing

Player System Installation

How did you hear about us?

Phone

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