Name_____________________________
If shipping to a different
Address, please check here Street______________________________
and write on reverse side___
City________________________________State___________Zip___________
Phone_________________Email__________________@____________
Model
of Stand (please check)
____Victorian Lyre($355) __Solid Back($295)__Conductor
Solid Back 14"x24"($325)
___Classical Lyre ($345) __ Column ($295) ___Conductor
Lyre Pattern ($395)
___Bird of Paradise ($355) __Church Logo Inlay UMC/Presby
14 x 24" $
(375)
___Tulip Lyre with lyre($345) ____Cross Inlay ($325) 12"x 22"
___Tulip Lyre with Instrument($355) What
instrument inside Tulip Lyre __________
____ Instrument stand ( 325.00 ) What
Instrument inside Instrument Stand_____________
___ Desk / Stationary Stand ($195) __Double back music storage
stand ($450)
____ Zither ($325) ____Art
Deco Stand ($325.00) ____Duet Stand ($495)
____ Modern Classic (325.00)
___
Diamond Jim ( 345.00) ____ Staffer ( 345.00)
____Victorian Lyre with design ($365-) what
design ? harp, cross, violin etc... _____________
____ Stand
style not listed above________or
write on back side of form
Type of wood (circle) Oak
Mahogany Alder Walnut
Maple Cherry
Its a good idea to send a picture
of the color stand you want from the web site
other__ (usually a $ 35.00
extra charge for exotic woods like Birdseye, Curley Cherry
___ Match my furniture (
I'll send you some photos or a picture of a stand from the web site)
Stain color-circle
Red
Mahogany Early American
__ You can Print a picture of
Aged cherry stain ( like a old violin) Other______ a
stand from the web site of
____Mix the woods ( no Charge - List woods ) _________________
the color you would
like
____Extra
Storage Shelf ($65) -stores bow,tuners,
pencils,tuning keys,rosin,business cards,)
____
check here for notched
ends for bow storage
on Extra Shelf ____ Music Stand Light ( 35.00)
____ Sheet
Music Storage Tray ($75)
(
sits down below music tray & stores sheet music)
____Brass accents ($35) Brass
accents include brass knobs, brass corner pcs. on lower mid
section and brass angle piece along music tray ( Brass
is recommend on all stands)
____Brass Knobs only ($20) ____Brass Plaque ($15-write
wording on reverse side)
____ Standard Wooden knobs stained to match ( no charge)
____ Music Stand carrying bag $95.00
Other Instructions (please
write on the back if you need more room)
Are we matching anything in particular?_______________Furniture,
instrument ?
Is this a surprise for someone?_____If so, how do we contact you
without
spoiling the surprise?_______________________________________________
***What type of instrument is this for-violin,cello,harp,voice,choir
dir, book stand ? ___
What is the height of your stand now?______(Standard
height is 30" - 50" Measured from floor to music tray)
Do you need this for a specific date?________ When?________
Return to:
Mister Standman Music Stands
208-664-4321
6692 E. French Gulch Rd
misterstandman@earthlink.net
Coeur d'Alene, ID 83814
www.misterstandman.com