Guitar Repair Request Form

Dogpatch Music Instrument Repair Request Form

262-267 Rashik Hazari Lane

Chattogram, Bangladesh 4203

Store TEL:  1732 959 934

Please cut and paste information below into an email or doc and send back to mohammad@dogpatchmusic.com

Date of Order Request:

 

Estimated Date/Need by Date:

 

Tour/Gigs/Travel Plans:

Notes

 

SECTION  I - INSTRUMENT INFORMATION

Instrument Category

 

Use Drop down menu Selection

 

Strings

 

Percussion

 

Brass

 

Wind

 

Keyboards

 

Electronic

 

Folk/World

 

Other (if other provide notes below)

 

Instrument Type / Description:

  

Instrument Brand Name:

 

Instrument Model Name:

 

Instrument Serial #:

 

Purchased Origin (On-line, Store, 2nd hand)

 

 

Type of Ownership

 

Use Drop down menu Selection

 

Privately Owned

 

School Owned

 

Institution/Corporation Owned

 

Studio

 

Other

 

SECTION II - CONTACT INFORMATION

Requestor’s First Name

 

Requestor’s Last Name

 

Name of Institution /Corporation if Applicable

 

Address Line 1

 

Address Line 2

 

Postal Code:

 

District Name:

 

Next to Business Entity:Near/above Building or Landmark:Other Known Entity:

 

Suite #

 

Apt #

 

Floor #

 

Telephone # Home/Primary :

 

Telephone # Mobile :

 

E-Mail Address 1:

 

E-Mail Address 2:

 

Special Instructions

   

 

SECTION III - REPAIR OPTIONS (Drop at the store or ship via courier)

 

Select from the following options below:

1

Send Instrument for Repair to our store  (make this a drop down list selection)

 

                Get Repair estimate before hands by providing us picture

 

                Call for Approval prior to ordering or conducting repairs or if estimate changed

 

                Request for shipping via courier after Repairs are made

2

Drop off Instrument the Store

 

                Get Repair estimate on-site  (make this a drop down list selection)

 

                Call for Approval prior to ordering parts or if estimate changed

 

                Pick-up instrument from our store

 

SECTION IV - GUITAR REPAIR & MAINTENANCE WORK AVAILABLE

 

Select from the list of options below

 

Guitar Repairs

1

               Set-Up (nuts, saddles, intonation)

2

               Fret Works

 

                      Fret Replacements

 

                      Levelling

 

                      Crowning

 

                      Shaping Fret ends

 

                      Re-seating Fret ends

 

                      Bridge Re-glue

 

                      Repair/Replace Broken Heads

 

                      Repair Replace Loose Brace

 

                      Repair /Replace Bridge

 

                      Neck Reset

 

                      Finish/Re-finish Work

 

                      Replace Tuning Peg

 

                      Crack Repair

 

                      Other (Describe) 

2

Instrument Parts Replacement   (make this a drop down list selection)

 

                Strings

 

                Machine Heads

 

                Fret

 

                Bridge

 

                Pick-ups

 

                Other (describe)

3

Instrument Maintenance & Cleaning  (make this a drop down list selection)

 

               Body Cleaning, Oil Maintenance

 

               Alignment

 

               Tuning

 

                Call for Approval prior to ordering parts or if estimate changed

 

                Pick-up instrument from our store

 

SECTION V – UPLOAD PICTURES OR VIDEO

1

 

2

 

3

 

4

 

5

 

 

SECTION VI – PAYMENT INFORMATION

Note:

  • Price listed do not include cost of replacement parts

  • Any items left in the store must be accompanied by a Dogpatch Music Repair form

  • Actual rates may vary and are subject to change based on part’s availability, etc.

Change in estimate/work:

  1. You will receive a call from Dogpatch Music Services with estimates and timeline for repairing your gear.

  2. If we need to order part(s) we will contact you prior to ordering and provide a revised estimate

  3. If the level of effort or part of the repair service estimate changed prior to the original estimate due to unforeseen cracks, defects, etc. we will contact you directly.

  4. We accept payment by phone with B-Kash, Credit Card (Visa, Mastercard, AMEX) or Cash-On- Delivery.