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Repairs
Repair Pickup Request Form
Once you have completed and submitted this form:
Print out two copies
A copy to put into the instrument case
A copy for your records
Please remove any extra items from the case (i.e. reeds, oils, rosin, etc.)
Give the instrument (with the copy of the repair request) directly to
your student’s music director
.
Leaving it with your director, and not the front office, will help ensure the safety of your instrument, plus expedite your repair
Personal Info
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
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Zip:
*
Phone Number:
*
Email:
*
Repair Info
Student Name:
*
Student School:
*
Director Name:
*
Instrument:
*
We presently have a maintenance plan from Quinlan & Fabish Music:
Please describe your instrument’s symptoms:
*
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Repair Pickup Request Form
Green Cleaning
Repair Services
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Double Horn
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1/2 and 3/4 Size Violin
1/4 Size Violin and Smaller
4/4 Size Violin
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