Musashi Gakki Piano Purchase Assessment Application Form

Piano Information

* Piano Manufacturer

YAMAHAKAWAIOther

If you selected 'Other', please enter the manufacturer's name.

* Piano Color

BlackBrownWood GrainWhiteMahoganyOther

If you selected 'Other', please enter the color.

* Type of Piano

Please SelectUpright PianoGrand PianoDigital PianoElectone

Piano Model Name (Model Number)

Piano Serial Number

The model number and serial number can be found inside the lid of the piano. If you are unable to check it, please contact us at 0120-634-860.

* Number of Pedals

32Other

* オプション

NoneAutoplay functionMute function (headphone mute system)Self-playing function & Mute function (headphone mute system)

* Condition of the Piano

Please SelectGoodNormalSmall scratches or minor dentsLarge dents or significant damageThe keys do not move or do not return to their original positionThe pedal does not move or is brokenThere are areas where the sound does not produceThere are signs of water damage or rodent infestationThe paint is peeling.

* Year of Purchase

Please SelectUnknownPurchased Second HandBefore 196019601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021

Location information of the piano.

* Location of the piano.

Please SelectDetached houseLarge ApartmentApartmentBuildingPublic buildingPublic housingWarehouseStoresSchool / KindergartenOther

* Floor number of the installation location.

Please Select1st floor2nd floor3rd floor4th floor5th floor6th floor or higher1st basement floor2nd basement floorBelow 3rd basement floor

* Presence of elevator

YesNo

* Previous delivery method.

Please SelectBy stairsBy elevatorBy craneUnknown

* The number of steps from the road to the entrance

Please SelectFewer than 9 steps.10 to 19 steps.20 to 29 steps30 or more steps.

備考欄　コメント・その他ご質問など

お客様情報

* 性

* 名

* 性(ふりがな)

* 名(ふりがな)

* 郵便番号

* 都道府県

* 市区町村

* 番地

建物名・部屋番号

* メールアドレス

* メールアドレス確認

* 電話番号(ハイフンなし)

その他ご質問等

* 希望連絡方法

もしよろしければアンケートにご協力くださいませ

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