Order Form

To place an order, please fill in the form below. For options with a drop down menu, simply click on the down arrow and make your selection. For choices with a check box, click on your choice. If you are not supplying us with guide hammers, please fill out the ADDITIONAL information section before submitting your order. At this time we are not using a secure server, so please fill out the form and call us with your credit card information. If you have any questions, give us a call. Thanks for your order. To download Order Form - See bottom of page

Name:

Email Address:

Address 1:

Address 2:

City:

State:

Zip Code:

Telephone Number:

Order Number:

Make and Model of Piano:

Piano Serial Number:

Molding Type:

Hammerheads Prefiled:

Tails Tapered:

Tails squared to backcheck:

Tails Roughed:

(Must be squared first)

Enclosed Old Shank:

Enclosed New Shank

Bore Size:

Bore Diameter:

Hammer Size:

Comments:

If you will be supplying guide hammers, please complete the form above, then scroll down to bottom of page, select shipping and payment type then Submit.

Additional information is required if no guide hammers are supplied. If guide hammers are supplied, any information below will overrule our judgement.

Additional Information:

Bore Diameter:

Bore Length Bass:

Bore Length Treble:

Overall Hammer Length - Bass:

Overall Hammer Length - Treble:

Felt Weight:

Degree of Vertical Pitch:

Bass Angle:

Treble Angles:

Number of Bass Hammers:

Shipping:

No PO Box for UPS shipments

Payment Type:

If you would prefer to download the Order Form in MS Word format, right click on the symbol to the right and select “SaveTarget As”