Classified Ad Submission Form
All Fields are Required
Your name:
Address:
Zip:
City:
State:
Email:
Phone:  (xxx) xxx-xxxx
What would you like displayed in your Ad?
Phone:
Address:
Email:
Product information
Instrument Brand:
Serial No.:
Model:
Finish:
Accessories
Included:
Bench
Pedal(s)
Other (Specify)
AC Cable/Adapter
Owner's Manual
Requested Caption:
Delivery Available?
Asking Price:
Additional background information, comments, etc. you would like to see in the ad:
I will be sending:
photos for publication.  Email photos to:
Info@NWPianoGallery.com
PAYMENT
Classified ad rates are $9.99 for 30 days.  Your ad will run on both the NW
Piano Gallery
site (aka Piano Liquidators) as well as our newest site,
PianoDango.
Prior to pressing the SUBMIT button, please note that ad listings
must be prepaid. You may either pay by
PayPal (requested) using the
button below or note that you will be sending a check.  If using
PayPal, please make sure the email address associated with your
PayPal account is the same as the email address listed above.
If different, please note it below.
PayPal specific Email address:
I will pay by check:
Mail payments to:
Piano Liquidators
472 W. 7th Ave.
Suite #3
Eugene, OR  97401
this service and will not renew automatically.