CHURCH MUSIC SURVEY
CHURCH:
PASTOR:
EMAIL ADDRESS:
MUSIC DIRECTOR:
ORGANIST:
CURRENT ORGAN MAKE:
CURRENT DIGITAL PIANO:
DENOMINATION:
ADDRESS:
CITY, STATE & ZIP:
CHURCH PHONE:
AGE:
AGE:
OTHER INSTRUMENTS USED IN SERVICES:
Piano
Synthesizers/MIDI
Praise Band
Others
WE WOULD LIKE TO LEARN MORE ABOUT:
Allen Organs
Kurzweil Digital Pianos
MIDI Products
If you contact us for service and mention this letter, you will receive 25% off of your next
service invoice! Check the box below if you would you like us to contact you for service?
YES, WE WOULD LIKE TO SCHEDULE SERVICE ON OUR:
Allen Organ
MAKE:
MODEL:
Digital Keyboard
MAKE:
MODEL:
Other Organ/keyboard
Church Organs of Houston
MAIL
P. O. Box 2414
Stafford, TX 77497
SHOWROOM
4134 Bluebonnet Dr., Ste. 114
Stafford, TX 77477
(281) 242-4202 - Phone
(800) 406-7426 - Toll Free
(281) 242-4212 - Fax
Thank you for your assistance. Your CD is on the way!
THIS FORM SUBMITTED BY:
ANY ADDITIONAL INFORMATION:
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