Ossia Music School

		Piano Tuning & Servicing
		Service Form

Piano Services Request Form

A. Customer Particulars

Name:

Address:

Postal Code:

Contact Tel:

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B. Services Requested For

Select Piano

Piano Shifting

House to House (Addresses as stated below):

From:
To:

Room to Room - Address as per Customer Paticulars stated above

Piano Tuning Only

Piano Tuning with Interior Cleaning

Regulating

String Replacement

Sticky Keys

Others