Hammer Order Form

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Hammer Order Form

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Date

Name/Business

Phone Number

E-Mail Address *

Address *

Address

Street 1

Street 2

City

State/Province

Zip/Postal

Country

Piano

Make, Model, and Serial Number

Hammer, parts, and service selection

Hammer Felt

Service Type Service Type

Shank Selection

Original Action Ratio

Hammer Angles

Number of Bass Hammers

Bass Hammer Angle

Treble Hammer Angles (Quantity and Degree)

String Heights

Please provide string heights in MM to the nearest .5 mm

Note 1

Last Bass

First Tenor

Last Tenor

1st Capo

End of 1st Capo

2nd Capo

Note 88

Hanging Distance

Note 1 - Distance hung on shank (Shank Center Pin to Hammer moulding center)

Note 88 Distance hung on shank (Shank Center Pin to Hammer moulding center)

Center Pin Height

Center Pin Height Note 1

Center Pin Height Note 88

Original Hammer Weights

C1 Note 4

C2 Note 16

C3 Note 28

C4 Note 40

C5 Note 52

C6 Note 64

C7 Note 76

C8 Note 88

Desired Hammer Weights

Additional Notes

Bore Distance 1

Bore Distance 2

Bore Distance 3

Bore Distance 4

Bore Distance 5

Bore Distance 6

Bore Distance 7

Bore Distance 8

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