**Please print this form and include with your instrument shipment.**
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Naylor’s Custom Wind Repair
6726 South Dahlia Court
Centennial, CO 80122
303.761.4759 • 877.761.4759
Instrument Repair Form
Please contact me via phone or e-mail before shipping an instrument. Also, include all instrument parts as barrels and bell and mouthpiece (if possible).
Shipping Information
Name:
Address (no P.O. Boxes):
City, State, Zip, Country:
Phone:
E-mail Address:
Instrument Information
Instrument type:
Instrument make:
Serial Number:
Value of instrument for return shipment insurance:
Specific complaints (add separate sheet if necessary):
If not included with instrument, type and facing of mouthpiece used:

Level of work requested:

    good playing condition
    partial rebuild
    full rebuild
    evaluation
    immersion rebuild (If the instrument is made of grenadilla or rosewood)

If you can, please provide a pitch map giving cents sharp or flat from A440. Is this pitch map current or made before current problems?

Shipping Instructions
  1. Put your name, shipping address (no PO Boxes), phone numbers, and e-mail address in the case! Include special instructions or complaints.
  2. Use the instrument’s hard case and be sure that the instrument is held firmly in its case.
  3. Use a cardboard box in good condition that is at least 3 inches larger in all dimensions than the hard case.
  4. Firmly pack the hard case in the cardboard box using Styrofoam peanuts or, preferably, balls of newspaper.
  5. Fully insure for replacement costs and use a major shipper, as UPS, Fed Ex, etc.

  6. ALWAYS REQUEST AN "ADULT SIGNATURE IS REQUIRED" STICKER ON THE OUTSIDE OF THE SHIPPING BOX or make sure that a signature is required for delivery to ensure the safety of your shipment. Even though it is more expensive, please consider shipping 2nd day Air. This will minimize the amount of time your instrument spends in the back of a truck.

  7. Even though it is more expensive, please consider shipping 2nd day Air. This will minimize the amount of time your instrument spends in transit.