What Day Do You Need Your Piano Relocated? *
What Time Would You Like to Have Your Piano Picked Up for Relocation? *
Customer’s Phone Number(s): (Alternate Numbers As Well) *
Customer’s Email Address (To Send a Copy of Written Quote)*
Address Where Piano Needs to Be Picked Up From (Address, Street, City, State, ZIP Code): *
Will You Be In Need of Storage? If So, Please List Brief Description.*
Address Where Piano Needs to Be Relocated To (Address, Street, City, State, ZIP Code)*
Any Additional Addresses/Stops?*
If You Selected Yes for Security Gate, Please Enter Code for Guest Entry*
Please Select the Maker of Your Piano*
What Is the Age of Your Piano? *
If You Selected Other, Please Type in the Maker*
What Is the Model of Your Piano? *
Estimation of Piano Size/Dimensions: (Example: 60" H x 40" W x 25" D) *
What is the Approximate WEIGHT RANGE of your Piano? *
Is Your Piano Currently Palatalized or on a Pallet? *
Would You Like Your Piano Palletized/Crated?*
What Type Of Floor Will Piano Rest On?*
Does Your Piano Have A Music Player?*
Any Stairs to Encounter? *
Piano Relocation Job Description: (Please Be Sure To Be Specific As Possible.) For Example: *
What Color Is Your Piano?*
Preferred Method of Payment: *
Extra Piano Information Description: *
Estimated Distance Between Destinations*
Structure Type Where Piano Will Be Picked Up From: (Check All That Apply) *
If You Selected Other for the Pickup Location of the Piano, *
Structure Type Where Piano Will Be Relocated To: (Check All That Apply)*
Will You Be In Need of Storage? If So, Please List Brief Description.*
If You Selected Other for the Drop Off Location of the Piano, *
Approach Location 2 (Pick Up Location) *
Approach Location 2 (Drop Off Location) *
Please List a Brief Description of Approach/Pathway *
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