Your Name: | .............................................................................................. |
Address: | .............................................................................................. |
Town: | .............................................................................................. |
Province / District: | .............................................................................................. |
Country: | .............................................................................................. |
Post / Zip code: | .............................................................................................. |
Tel: | .............................................................................................. |
Type of piano: | Square __ Cabinet __ Upright __ Cottage __ Grand __ |
Serial number: | .............................................................................................. |
Name on fall board: | ___ John Broadwood ___ John Broadwood & Son ___ John Broadwood & Sons ___ John Broadwood & Sons Ltd |
Number of octaves: | .............................................................................................. |
Compass: | .............................................................................................. |
If your piano is a grand: | Overall Width ___ Overall Length ___ |
Please send this form plus your cheque to: | John Broadwood & Sons Ltd. John Broadwood & Sons Ltd. Finchcocks Goudhurst Kent England. TN17 1HH |