Wurlitzer Repair Request form

Name *

First Name

Last Name

Do your keys wobble side to side?

(i.e. do they feel loose on the key posts)

Not sure

Yes

No

Do keys get stuck in the down position?

Not sure

Yes, a lot

Yes, a few

No

Do you have any weak, quiet, or dull notes?

Not sure

Yes, a lot

Yes, a few

No

Would you like any intonation done?

Not sure

Yes, a lot

Yes, a little

No

Any cosmetic issues you would like us to address?

Check any that apply

Exterior paint

Rusty metal parts/hardware

Missing cosmetic parts

I'm okay with the cosmetics as is

Does the amplifier reproduce sound as it should?

Check any issues that apply

Constant noise floor (consistent hum or hiss)

Intermittent noise (crackle, pops, whistling, other)

Low volume

Tremolo/vibrato not working

Not powering on

No sound

Will you drop off your keyboard?

Yes, I can bring it to the shop

I'd like it picked up & returned