PIPE ORGAN
Q U E S T I O N N A I R E

Please take a few moments to fill out the following questionnaire, as it will give me a good idea of the pipe organ's size and configuration. Don't feel as though you need to answer all of these questions. They are just to give me an idea of the size of the instrument and the scope of the project. 

      CHURCH'S NAME 

   CHURCH'S ADDRESS 

               CITY 

              STATE 

           ZIP CODE 

 PASTOR'S LAST NAME 

PASTOR'S FIRST NAME 

   TELEPHONE NUMBER 

WOULD YOU LIKE ME TO PHONE:

  • YES

  • NO

     E-MAIL ADDRESS 
    
The following information would be very helpful if you know, otherwise, 
    just leave the item blank.
  ORGAN MANUFACTURER'S NAME 
   YEAR ORGAN WAS INSTALLED 
            NUMBER OF RANKS 
          NUMBER OF MANUALS 
        NUMBER OF DIVISIONS 
             TYPE OF CHESTS 
              TYPE OF RELAY 
         COMBINATION ACTION

    • Tell me about the upcoming project.

    NOTE: When you click on the 'SEND' button below, your browser will give you a warning about sending insecure data. The data will be sent to me via E-MAIL. Since you are not sending any sensitive information, you should choose to ignore the warning and submit the information, as the transmission will be as secure as any other E-MAIL transfer. Thank you.

    Gateway | Services  | Introduction

    For additional information please contact me:
    Ray@Sargent.net
    (630)479-5738