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