Full Name: (required) Phone #: (required) E-mail address: (will help) Preferred Day/Time for Pickup/Delivery | Grand Size | Upright Height (+- if you dont know) Day of Week Mon Tue Wed Thu Fri Sat Time Slot 8am - 10am 10am - Noon Noon - 2pm 2pm - 4pm 4pm - 6pm Grand Size Grand 5' 1" Grand 5' 4" Grand 5' 7" Grand 5' 10" Grand 6' 1" Grand 7' 0" Grand 9' 0" Digital Grand Upright Height Upright 36" Upright 40-42" Upright 45-48" Upright 50" Upright 54-55" Digital Upright Contact Info, Address, and number of stairs (steps) where piano will be picked up: Example: John Q Public ###-###-#### 220 NoName Ln Rocklin CA 4 steps up to porch 1 step into house. Side or garage entrances are options if no 90° turns inside door. Contact Info, Address, and number of stairs (steps) where piano will be delivered: General Comments/Requests