Please provide the following Contact information:
Name	(Optional)
*E-mail	*
Phone	(Optional)
Please enter all information known about your Upright Piano :
Small Upright (Aka: Spinet, Console)   Medium Upright (Aka: Studio, Upright)   Large Upright (Aka: Full Size, Cabinet Upright, Grand Upright, Professional Upright)
If you know the height of your upright piano, please enter it here:    Height 36 inch 37 inch 38 inch 39 inch 40 inch 41 inch 42 inch 43 inch 44 inch 45 inch 46 inch 47 inch 48 inch 49 inch 50 inch 51 inch 52 inch 53 inch 54 inch 55 inch 56 inch 57 inch 58 inch 59 inch 60 inch unknown (Please use diagram on right to properly measure your upright piano)
Is your piano a player piano?   Please Select I do not know Not a Player Piano Yes, Digital Player Piano Yes, Old Style Player Piano (Paper Polls) Yes and No - player system has been removed Manufacturer/Brand: Model : Serial #:    (Please provide serial number if able to locate on piano) *Is a piano bench included?   Please Select Yes - Piano Bench No piano bench * Please enter any other information describing the piano and/or why you wish to put up for adoption.       Photo   A picture of your piano are HIGHLY recommended. Please E-Mail your photo for use on your listing. Please be sure to return back to this form to complete & submit.
Information about where the piano is located is required in order to provide accurate moving quotes to potential recipients of your piano.
Please describe the location the piano will be Picked-Up at:		Stairway A Stairway B Stairway C Stairway D Stairway E
*Town/City	*
*State	*
*Zip Code	*
*Description of Pick-up Location: (if the piano will need to be moved up or down a stairway, please select the closest match to your stairway with stairway diagrams on the right)	Please Select Ground Level-No Steps 1st Floor-1 to 3 Outside Steps 1st Floor-4-7 Outside Steps 1st Floor-8 to 15 Outside Steps Split Level/Raised Ranch Basement - Walkout Basement - Stairway A Basement - Stairway B Basement - Stairway C Basement - Stairway D Basement - Stairway E Basement - Bulkhead 2nd Floor-stairway A 2nd Floor-stairway B 2nd Floor-stairway C 2nd Floor-stairway D 2nd Floor-stairway E 3rd Floor-Stairway A 3rd Floor-Stairway B 3rd Floor-Stairway C 3rd Floor-Stairway D 3rd Floor-Stairway E 4th Floor-Stairway A 4th Floor-Stairway B 4th Floor-Stairway C 4th Floor-Stairway D 4th Floor-Stairway E 5th Floor-Stairway A 5th Floor-Stairway B 5th Floor-Stairway C 5th Floor-Stairway D 5th Floor-Stairway E Elevator Crane Needed *
Additional Info:
Please provide any additional information that we may need to know to provide accurate moving quote.