Piano Donation Form
Donor Name *
Your answer
Donor Phone *
Your answer
Donor Email *
Your answer
Donor Address *
Your answer
Address where the piano is stored *
Your answer
Piano Type *
Make/ Model (may be on sound board or back of piano) *
Your answer
Piano Age (if known) *
Your answer
Serial Number (if known) *
Your answer
Please describe the piano's condition *
Your answer
How long have you owned the piano? *
Your answer
During the time that you owned the piano, please describe work done to it - how often it was serviced by a technician (once in a while, once a year, never, etc.) and what work was completed (tuning, loose pins fixed, restringing, regulation, etc.) *
Your answer
Date the piano was last serviced by a technician (if known) *
Your answer
Name of the piano technician (if known) *
Your answer
Why are you interested in donating this piano? *
Your answer
If this piano meets our current requirements and is accepted by the Philharmonic, is there a date when the piano must be moved from its current location? *
If yes, what is the date?
Your answer
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