-


BOOK YOUR PIANO RELOCATION



PLEASE FILL OUT FORM TO THE BEST OF YOUR ABILITY
DATE SERVICES ARE NEEDED
FIRST & LAST NAME OF CUSTOMER/BUSINESS
ADDRESS WHERE PIANO IS LOCATED
ENTER IN A PRIMARY & ALTERNATE CONTACT PHONE NUMBER
E-MAIL ADDRESS
ADDRESS WHERE PIANO WILL BE RELOCATED
TYPE OF PIANO
UPRIGHT
BABY GRAND
GRAND
CONCERT HALL
OTHER
MAKER AND MODEL
ESTIMATED WEIGHT
50-100LBS.
100-150 LBS.
150-200 LBS.
200-250 LBS.
250-300 LBS.
300-350 LBS.
350-400 LBS.
400-450 LBS.
450-500 LBS.
MORE THAN 500 LBS. WILL BE VERIFIED BY ANENT
PLEASE SELECT FINNISH TYPE
PAINTED
WOOD
ACRYLIC
CUSTOM/ COVERED
OTHER
Insert type of surface piano will transverse inside of structure
Insert type of surface piano will transverse outside on the way to truck
WHEELS
PREFERRED METHOD OF PAYMENT
CASH (BIGGEST DISCOUNT OFFERED)
CHECK
MONEY ORDER
DEBIT
CRIED
STAIRS TO ENCOUNTER
IF SELECTED YES FOR STAIRS: PLEASE LIST A BRIEF DESCRIPTION/STYLE
HOW DID YOU FIND OUT ABOUT OUR SERVICES
ABOUT INTEGRITY MOVERS concert hall style pianoCONCERT HALL STYLE PIANO

Website Builder provided by  Vistaprint