Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I've tuned my piano... *

Within the last year

Within the last 2 years

Within 5 years

It's been many years

My keys *

appear to work fine to me

are slower than I'd like

appear to stick and come up VERY slowly

are difficult or hard to play

I'd like a cleaning *

keytops & exterior cabinet are dirty

exterior cabinet or gloss looks lightly scratched

exterior cabinet is scratched and brass pedals/hinges are dull

no exterior cleaning but the interior might need it

My Piano Life Saver System needs servicing *

Yes

No

I don't own one

Strings might be missing or some keys do not work at all *

Yes

No

The tone quality is *

harsh & tinny but I like it

harsh & tinny but I want it softer

soft & warm and I like it

soft & warm but I want it brighter

For my quote, Randy can *

Call me at the # given

Text me a quote

Email me a quote

Any of the above

I have a budget of

The more open you are, the more I can help offer options for you (STRICTLY CONFIDENTIAL)

up to $250

up to $450

up to $800

up to $1500

up to $2000

up to $2500

$2500 or more