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

3 pedals2 pedalsOther

* Other Features

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 1960196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025

Location information of the piano.

* Location of the piano.

Please SelectDetached houseLarge ApartmentSmall ApartmentBuildingPublic 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.

If you have any comments or questions, please write them down.

Customer Information

* Last Name

* First Name

* Last Name (Furigana)

* First Name (Furigana)

* Postal Code

* Prefecture

* City

* Street Address

Building Name / Room Number

* Email Address

* Confirm Email Address

* Phone number (without hyphens).

Please write any other questions or inquiries.

* Preferred method of contact

If you don't mind, please kindly participate in our survey.

Reason for letting go of the piano.

If you selected 'Other' please let us know the reason.

Environment where the piano is placed

How did you hear about Musashi Gakki?