GLAP Estimate Request Form GLAP Estimate Request Form

Great Lakes Antique Phonograph

Estimate Request Form

9496 N Woodbridge Ave

Bitely MI 49309


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Information about my phonograph:


If other, please specify:

Model &serial number (if known):

Type of Phonograph:


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Type of Wood:

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Information about what I am looking for:

I Need:

Please use this area to describe what you need, being as specific as possible.

Information about me:



City:             State:              Zip Code:

Phone Number:                 Fax:

Email Address:

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When you are finished completing this form, please click the "submit" button below.

Thank you for your request.