My Piano Tuning Calendar & Appointment Request Form

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Instructions:

1. The calendar below will show you the time of all my appointments, my customers name and what city they live in.
2. Find a date and time that I'm Available near your city by looking at the Calendar below.
3. Fill out and send the Request Form at the bottom of this page to request your appointment.
4. I will e-mail you back within a few minutes to confirm the appointment.

NOTES:
*  
10:00 to 11:30 means I will be at that persons house from 10:00am to 11:30am and will be available for another appointment at about 12:00pm.
* TENTATIVE means I haven't heard back from the customer to verify the appointment yet. If this is you, check your emails Junk or Spam Folder.

  Piano Tuning Request Form for Doug Freeze

  Fill out this Form, click Send and I'll get back to you as soon as I can.

Please fill in all fields that pertain to you and ignore the rest. Only your email address is required.
Your First & Last Name
Name of business (Only if the piano is at a business) (School - Church - Recording Studio - Hotel - Etcetera)
The date and time you'd like me there.
Please don't leave this blank for me to choose.
Month       Date       Time 
Mobile Phone  
(Texting allowed? yes no)
 
Home Phone
Other Phone
Email Address       Required  PLEASE check to make sure this address is correct.
Address of where the piano is Street
City State Zip City     State     Zip
Piano Type Upright
Grand
Would you like a reminder a day before the appointment? Yes (Default)
No
If Yes, how would you like the Reminder? Email (Default)
Text Message sent to my mobile phone
How did you hear about me? Google Internet Search
From Yelp.com
I'm a Past Customer of yours
Referral or Other (Please let me know who referred you)
Type any notes you may have for me.