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   HOME    The Piano Book   Annual Supplement   Ordering Info
   Consulting    New Piano Pricing Guide Service
Pricing Guide Form #1

Fill out Pricing Guide Form #1 below and submit it electronically by clicking on the "Submit Order" button. If you make a mistake while filling out the form, you can click on "Clear/Reset Form" to start over. If you prefer to send your order by fax or mail, use Pricing Guide Form #2 instead.
Name:
Address:
City:
 State/Prov.:
Zip/Postal Code:
Country:
E:mail address:
Credit card information:  

MasterCard Visa Amex Discover/Novus

   

Card #: Expiration date (Example: 06/97):

   

PayPal: If you prefer to pay by PayPal, enter "PayPal" in the Card # box above. After submitting this form, login to your PayPal account and send the required payment to info@pianobook.com. Include a message that the payment is for a New Piano Pricing Guide request. Your pricing information will be sent when your PayPal payment clears.

Please send me price information on the following new piano models. I understand the cost of this service is US$25.00 for the first three pianos requested (minimum US$25.00), plus US$5.00 for each additional piano. Please charge my credit card or PayPal account (as applicable) accordingly.

   
PIANO #1: Brand Model (letters, numbers)
Style/Finish (e.g., Satin Ebony, French Provincial High-gloss Walnut, etc.)
 
PIANO #2: Brand Model
Style/Finish
 
PIANO #3: Brand Model
Style/Finish
 
PIANO #4: Brand Model
Style/Finish
 
PIANO #5: Brand Model
Style/Finish
 
PIANO #6: Brand Model
Style/finish
 

For additional models, please submit another form.

Please specify how, and to where, you would like the information sent:
By mail to the above address
By e-mail to the email address above
By fax to:

Pricing Guide Form #2 (for fax and mail submission)

New Piano Pricing Guide Service

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