Registration Congratulations! We hope this beautiful, heirloom instrument brings many years of pleasure to you and your family.Any information that you supply to Kayserburg is kept in strictest confidence and never shared or sold. Thank you for your prompt registration. About You Full Name Address City State or Province —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon Zip Code Email (required) What is your age range? Under 2526-3536-4546-5556+ What is your household income? $25-50K$51-100K$101-150K$151K + What is your highest level of education? High SchoolCollegeGraduate Degree About Your Purchase Was this your first piano purchase? YesNo Please rate the following items 1 through 5 as to which most influenced your purchase (5 being the highest): Teacher 12345 Technician 12345 Friend 12345 Salesperson 12345 Price 12345 Brand Reputation 12345 Tone 12345 Other 12345 Please rate your buying experience: 12345 About Your Piano Store Name: Store Address: Purchase Date: Model #: Serial #: Finish: Ebony PolishMahogany PolishMahogany SatinHand-rubbed Ebony SatinWhite PolishCherry SatinWalnut SatinWalnut Polish Who will play your new piano? (Check all that apply.) SelfChildrenSpouseOther If other, please explain: Δ