Step-up info Questionnaire

Please answer the following questionnaire then press 'Submit'.

Conrad Music Service carries a vast selection of the Top Brand Intermediate & Professional step up instruments, including Conn-Selmer, Yamaha, Xeno, Bach, Jupiter, Pearl, Buffet, Fox, Yanagisawa, King, Ludwig, Eastman, Majestic, Holton, Leblanc, & many more. In many cases, we know what brands the teacher would recommend. We have a variety of payment plans available as well. Some of our step up instruments are also available on our month-to-month plan to help make them affordable to a wide variety of customers.

Please fill out the following questionnaire so we may provide you with the best possible step up information for your instrument.

* required

*1) Parent Name

(30 characters max)

*2) Account No. (If applicable)

(30 characters max)

*3) Student Name

(30 characters max)

*4) Instrument

(30 characters max)

*5) School

(50 characters max)

*6) Email Address

(30 characters max)

*7) Daytime Phone

(20 characters max)

*8) Are you currently renting a Conrad instrument?

*9) What step-up instrument are you interested in?

(1000 characters max)

*10) What is the model and brand of the step-up instrument you are interested in?

(1000 characters max)

*11) Additional Information:

(1000 characters max)

*12) What is the best way to contact you?

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