Broadwood Archive Services

PLEASE PRINT IN BLOCK CAPITALS

Your Details
Your Name: ..............................................................................................
Address: ..............................................................................................
Town: ..............................................................................................
Province / District: ..............................................................................................
Country: ..............................................................................................
Post / Zip code: ..............................................................................................
Tel: ..............................................................................................


Your Piano
Type of piano: Square __ Cabinet __ Upright __ Grand __
Serial number: ..............................................................................................
Name on fall board: ___ John Broadwood
___ John Broadwood & Son
___ John Broadwood & Sons
Number of octaves: ..............................................................................................
Compass: ..............................................................................................
If your piano is a grand: Overall Width ___    Overall Length ___

Please send this form plus your cheque to: Broadwood Archive Services
11, Cliff Street,
Whitby,
North Yorkshire.
YO21 3DD,
UK.


A charge of 60.00 is made for a search.
Please ensure your cheque is in
Pounds Sterling.
Cheque made payable to Broadwood Archive Services
NOT John Broadwood & Sons Ltd.