Online Piano Rental Company Quotation Form
Online Musical Instrument Rental Company Quotation Form

Please fill in ALL the blanks
(Secured by SSL)
Your Full Name          
Your eMail required          
Your Phone  
Your Fax

Piano(s) (State Grand or Upright, Make, Model (size) or other descriptive details).
Musical Instrument (s) & Back-line required

Delivery Details
Date of Delivery    
Time of Delivery (Time is flexible - or not flexible)
Date of Pick-Up    
Time of Pick-Up (Time is flexible - or not flexible)
Stage Height    
Leesee Has On Site Crew to Assist Pro Piano? ( Yes No)

Numbers of Flights, Stairs, Steps
Elevator? ( Yes No)
If Yes, Floor Dimensions of elevator?
description of difficult moving contingencies

Delivery Location  
Facility or Hall Name
Street Address
City, State & Zip Code
Contact Person Onsite
Onsite Phone Number
Billing Details  
Cardholder's Company Name
Cardholder's Name in Full
Cardholder's Street Address
Cardholder's City, State & ZIP Code
Cardholder's Phone
Cardholder's Fax
Cardholder's eMail
Credit Card Details (Not Mandatory, but no quotation is a firm reservation without credit card details)
Visa, Master Card, American Express, JCB
Card Number Expiration Date (mm/yy)
Security ID from back of card      

Pro Piano will respond with a quotation in less than 24 hours,
or you will be given a 15% discount on the total order

Pro Piano reserves the right to raise said quotation if you have
inadvertently withheld critical information that impacts the overall price

- Type This Code Into The Box Below. Required!!