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INSTRUMENT SERVICE / REPAIR PICK-UP REQUEST
INSTRUCTIONS:

1. Complete this form.
2. Print a copy of this form and place it with your instrument.
3. Notify the Pick-up contact person that your are expecting a service pick-up

We will pick-up your instrument for repair at our next scheduled service day for your school. Repairs will be estimated by our service technician who will call you with a full estimate for your approval. No work will be completed without your approval. Payment for service is expected at the completion of the repair and before delivery.

If you have any questions please contact Taylor Band & Orchestra at (330) 733-4131.
Customer Information
E-Mail:*
Name*
Street Address*
City*
State*
Zip Code*
Phone:*
School / Student Information
Students Name*
School*
Instrument Pick-up Location*
Pick-up Contact Person*
Instrument / Repair Information
Instrument*
Serial Number
Are you renting this instrument from us?*
   YES    NO 
Do you have a maintenance contract?*
   YES    NO 
Do you need a loaner instrument?
   YES, PLEASE
   NO, THANK YOU
What work would you like done to your instrument?*