Intake form

Name *

Email address *

What type of musical instrument are you interested in?

Please select at least one option.

Guitar

Drum Set

Tabla

Dholak

Harmonium

Casio Keyboard

Yamaha Keyboard

Flute

Maracas

Do you require repair services for your musical instrument?

What type of service do you need?

Please select at least one option.

String Replacement

Tuning

Cleaning

General Repair

How did you hear about electronic bazar?

What is your preferred contact method?

Please select at least one option.

Phone

Email

In-Person

What is your location?

Additional questions or comments

Electronic Bazar