Information About You
Name:
Street/Apt:
City:
State/Region:
Country:
Postal Code:
email:
Client Status:
Choose one... New Client Returning Client
Information About Your Mouthpiece
Saxophone Type:
Choose one... Soprano (Bb & C) Alto Tenor Baritone Bass Sopranino C-Melody F-Mezzo Other Unknown
Brand:
Choose one... Berg Larsen Dukoff low baffle - H, LD, vintage B.D. Guardala Meyer Otto Link Selmer Vandoren Dukoff high baffle - D,P,M,S,X (+$) Saxworks (+$) Other Unknown
Material:
Choose one... Hard Rubber Plastic Wood Brass (+$) Tin/Pewter (Dukoff, Saxworks) (+$) Crystal (+$) Stainless Steel (+$$$) Unknown
Tip Opening:
Choose one... Unchanged Opened/Closed within .010 in. Opened/Closed more than .010 in. (+$)
Turnaround:
Choose one... Standard: 2-12 weeks (normally) RUSH: 2 weeks or less (+35% premium) PANIC: 48 hours or less (+70% premium)
How many total mouthpieces will you be sending?
Batch Size:
Choose one... One Mouthpiece 2-4 Mouthpeices (save 8%) 5 or more Mouthpieces (save 12%)
Payment Method:
Choose one... USPS Money Order (-$) US Bank Check (-$) US Personal Check (-$) PayPal (Credit Card or International)
Review shipment options here before selecting:
Return Destination:
Choose one... United States International
Shipping Method:
US/Int'l: Priority Insured Int'l: First Class Non-Insured (-$$) Int'l: Priority Non-Insured (-$) Int'l: Express Non-Insured (+$) Int'l: Express Insured (+$$) Int'l: Global Guaranteed Non-Insured (+$$$) Int'l: Global Guaranteed Insured (+$$$$)
Value ($USD):
Returning clients - what pieces has EZ worked on for you?
EZ History:
Additional services required? Any comments to add?
Comments: