Northwind Cases, Inc.

Handcrafted French Style Cases

31 E. Rillito Street

Tucson, Arizona 85705-5632

520-882-6160

PICCOLO CASE ORDER FORM

  DATE            PHONE    EMAIL

  NAME

 SHIP TO ADDRESS (no  P.O.#s)

  CITY          STATE         ZIP

 All of our cases are custom fit to your measurements.  We guarantee fit to those measurements
you provide.  However it is your responsibility to notify us of any options or items unique to
your instrument.  Please be diligent in measuring and providing us with all information that
could affect fit as you will be charged for any adjustments to the case due to errors or
omissions on your part.

Description:  Case to hold a piccolo.

 PLEASE MEASURE WITHIN 1/32" OR 1 mm       FILL IN ALL THAT APPLY TO YOUR ORDER   
PICCOLO Body length            Silver       Wood
PICCOLO Head length            Silver       Wood          Straight      Bulbous
Largest Diameter                      Piccolo manufacturer 

 VELVET COLORS--PLEASE CHECK ONE                                                               CATCH PLATING
   BLUE        WINE            SPRUCE (forest green)                              NICKEL (Silver Color)
 BLACK   SEA GREEN (teal)                                                                          BRASS (Gold Color)
 RED VIOLET                     BLUE  VIOLET

SPECIAL NOTES: Use this space to inform us of any features that may affect the fitting.
 

 Please allow 4 - 6 WEEKS to mfg. your custom case.  --RUSH ORDERS ADD 20 %
                                                                                 Pricing : Wood or metal  Piccolo  Case  
                     Rush Order, add 20% (31.20)   (if needed sooner than 4 weeks)     
                    Altieri Case Cover  $30.00.  For info go to  www.altieribags.com  
                                                                                                 AZ residents add 8.1% Sales Tax 
                                Shipping USA orders $15.00.  Non USA order, call for quote 

                                                                                                                                                              Total 

At this time, this is not a secure site!  Mail check or call with your credit card number or email
your card number in one email and the expiration date in another email to:
 sales@northwindcases.com         Clicking on 'Submit ' will email this form to us.     

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