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Name:
Address:
City, State, Zip:
,
Telephone Number:
E-Mail Address:
(Used for return on quote)
Type of Unit:
(baby grand, upright, organ, etc)
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Grand (under 6'6")
7' Grand (over 6'6" to 7'6")
Player 7' Grand (over 6'6" to 7'6")
Concert Grand (over 7'6")
Player Concert Grand (over 7'6")
Upright (over 46" in height)
Player Upright (over 46" in height)
Spinet/Console (under 46" or less)
Player Spinet/Console (under 46" or less)
Spinet Organ (pedals to not detach)
Console Organ (pedals detach)
City, State From:
(pickup location)
City, State To:
(delivery location)
Stairs at Pickup Location:
(note quantity of stairs if any)
Elevator at Pickup Location:
Yes
No
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Stairs at Delivery Location:
(note quantity of stairs if any)
Elevator at Delivery Location:
Date of moving:
Comments:
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