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Piano Rating Service Form

Please fill out this form and click on the SUBMIT button at the bottom of this form when you are finished. 

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  • Please provide the following contact information so that we can connect this form to your payment:  (Please include all items with a * by them so that we can contact you with a response.  We have received some forms without any return address, fax, phone or email, and we were unable to send our response. When this form is submitted, it does not automatically show who sent it as would happen with an email)

    *First Name
    *Last Name
    Middle Initial
    Title
    Organization
    *City
    *State/Province
    *Zip/Postal Code
    Country
    *Work Phone
    *Home Phone
    FAX
    *E-mail
  • Do you have a specific question about a decision you have to make or a particular situation you are faced with that you would like to tell us?


  • How many pianos are you asking us to rate? 

 

  1. For Piano #1 Fill out the following information

    Brand: 
    Type: 
    Model:
    Size::  Feet Inches
    Age:
    Finish  Color::
    Sheen of  Finish: 
    Finish Veneer if Wood Grain shows
    Style::

    If this is a player piano, what does it use to play music?

    Dealer's Price::
    Comments::

 

  1. For Piano #2 Fill out the following information

    Brand: 
    Type: 
    Model:
    Size::  Feet Inches
    Age:
    Finish  Color::
    Sheen of  Finish: 
    Finish Veneer if Wood Grain shows
    Style::

    If this is a player piano, what does it use to play music?

    Dealer's Price::
    Comments::

 

  1. For Piano #3 Fill out the following information

    Brand: 
    Type: 
    Model:
    Size::  Feet Inches
    Age:
    Finish  Color::
    Sheen of  Finish: 
    Finish Veneer if Wood Grain shows
    Style::

    If this is a player piano, what does it use to play music?

    Dealer's Price::
    Comments::

 

  1. For Piano #4 Fill out the following information

    Brand: 
    Type: 
    Model:
    Size::  Feet Inches
    Age:
    Finish  Color::
    Sheen of  Finish: 
    Finish Veneer if Wood Grain shows
    Style::

    If this is a player piano, what does it use to play music?

    Dealer's Price::
    Comments::

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Revised: March 06, 2007

 

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