Complementary Piano Moving Quotes

First Name:	Last Name:	Middle:
Home Phone:	Work Phone:
Email:

Inquiry Date:

Moving Date:

Origin

Address:
City:	State:	Zip Code:
Location:

Destination

Address:
City:	State:	Zip Code:
Location:

Inventory - For fastest response please select all applicable piano types below and indicate the number of each to be moved.

Pianos		Number
	Spinets & Consoles
	Baby Grands
	Grand Piano
	Square Grands
	Uprights
	Player Pianos
	Organs
Piano value
Insurance deductible

If you're not sure what type of piano you have, use this chart to help identify it.
Spinet Piano	Baby Grand Piano
Grand Piano	Square Grand Piano
Upright Piano	Player Piano
Organ

NOTE: Due to certain obstacles, extra labor or equipment may be needed to move your piano. In order to give an accurate estimate, please provide this information for us.

Circumstances:

	Gravel		Grass		Dirt Walkway		Uneven Walkway		Steep Stairwell
	Steep Driveway		Slate Steps		Soft Wood Floors		Hoisting

We ship other items as well! Please list any other items you would like to have shipped with your piano:
(Note: Table lamps, stereo components, computers, and all fragile items must be boxed - include these items in the total estimated boxes.)

How Did You Hear About Our Company:

Steinway, Bluthner, Bohemia, Baldwin, Sauter, Pleyel, Petrof, Ellingon, Chickering, Chippendale, Wurlitzer, Rosenkranz Goldene