Piano Technician Application

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Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:
Have you completed any of these training/certification programs?

Piano Technician AcademyOther Corispondance Piano Tech CourseRegistered Piano Technician through PTGManufacturer training (Yamaha, Steinway, Mason, etc.)Other
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EmailPiano Technician AcademyFellow TechnicianFacebookOther (please specify)
Job Skills & Training
References Please list two (1) references that are familiar with your work life.
Reference Info
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
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