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Dealer Move Request

Use this form to request a piano move with us. 

All incoming requests will be checked by our staff
every half hour Monday - Friday 8:30 - 4:30

Our scheduler will respond by phone or e-mail to let you know that we have received your request

Generated with MOOJ Proforms Basic Version 1.3
* Required information.
Dealer name * Please enter your company name
Order date * Please enter order date here
Order type * Details that would be helpful to us such as...pick up and deliver, dump etc
Store location *
Sales person *
Instrument size *
Instrument * Please enter Piano make
Other items to move
Customer name * Please enter customer name here
Customer address * Please enter complete customer's address here. Including House number, street name, city, state, and ZIP code.
Primary phone number *
Secondary phone number/Cell phone
Steps or stairs * Describe steps, stairs, or flight and how many
Special Notes Type any additional information here that will help us with this move
Who pays * Please select one
Dealer
Customer
COD Amount Collect On Delivery
File attachment You can send any attachment of pictures or documents here.

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