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First Name
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Last Name
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Email Address
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Company or Institution Name
Spouse Name
Primary Phone Number
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Secondary Phone Number
Street Address
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Additional Address Details
City
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Zip Code
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Nearest Major Cross Streets
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Is this campus or community gated?
Gated location?
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Select One
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Gate Code
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Enter "staffed" if this is a staffed gate. Please ensure that you add Scott Helms to your guest list for the time of your scheduled appointment.
Location Notes & Other Comments
Preferred Day
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Time
9 AM
11 AM
2 PM
4 PM
When was your piano last tuned?
(Required)
Less than 1 year
1 to 3 years ago
3+ years ago
Not sure
If it's been longer than a year since your piano was last tuned, it may need 2 tunings, one to bring it up to pitch (called a "pitch raise"), and the second fine tuning a few weeks later. In extreme cases, a badly neglected piano may need more than one pitch raise before the fine tuning. Scott can let you know if any of this is necessary when he hears the piano.
Is this a free tuning included with the purchase of a piano?
(Required)
Yes
No
I purchased this piano [New/Used]
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New
Used
Are you a piano teacher?
Yes
No
Include me in your public piano teacher directory.
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