Verhuisformulier EN

Moving request form
Your name

First nameLast name
Your e-mail*
This e-mail will be used for further comunication
Do you have a customer number?
Details of collection at the original address
Was the piano purchased fom us?*

YesNo
If so, do you know your customer number ?
Earliest moving date*

DagMaandJaar
Datum
Latest moving date*

DagMaandJaar
Datum
Piano brand*
Piano serial number*
Type?*

Grand pianoUpright piano
Height (in cm)*
If upright piano
Length (in cm)*
If grand piano
Please add a clear picture of your instrument

Cancelof
Collection contact*
Name + mobile number
Collection adress*

Street

House number

Postal codeCity

Province
Where is your piano

Ground floorFirst floorSecond floor or heigher
Are there any obstacles?*
For example: stairs, narrow passage, unpaved driveway, grass...
If the piano is not on the ground floor, can it be moved outside via a street-facing window or an elevator?

NPWindowElevator
If it needs to be moved through a window or elevator, please provide us with the dimensions.
Photos of the situation*

For example: stairs, narrow passage, unpaved driveway, grass...
Cancelof
Please forsee a free parking space of at least 17 metres
Would you like to store the piano with us for a longer period after collection? If so, we will be happy to provide a quote for storage

YesNo
Details delivery on new address
Delivery contact*
Name + mobile number
Delivery adress?*

Street

House number

Postal codeCity

Province
Where should the piano be moved to

Ground floorFirst floorSecond floor or heigher
If the piano is not on the ground floor, can it be moved outside via a street-facing window or an elevator?

NPWindowElevator
If it needs to be moved through a window or elevator, please provide us with the dimensions.
Are there any obstacles?*
For example: stairs, narrow passage, unpaved driveway, grass...
Photos of the situation
Please forsee a free parking space of at least 17 metres
We will prepare a price quotation based of this form. If any information is incorrect or missing, we will not held accountable for any surcharge on the final invoice.
Invoice address*
name - address - postal code - city
VAT number
E-mail where we should send the invoice to*
Should be Empty:

Moving request form

Details of collection at the original address

Details delivery on new address