Your Name
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First Name
Last Name
Today's Date
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MM
DD
YYYY
Email Address
*
Where did you hear about Guitars For Glory?
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Name of Recipient
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First Name
Last Name
Address of Person or Organization Receiving Instrument
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How would this guitar be used? (Include as much detail as possible)
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Describe the recipient(s) and the role they play in their community/church.
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Describe the recipient(s) guitar experience. (Length of time, context of playing, etc.)
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What has been the biggest obstacle in obtaining a guitar?
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Financial reasons
No local music store
Other
Please share any additional information about the obstacles you have faced in obtaining a guitar.
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Would there be a large customs fee upon receiving it?
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Is a pickup needed in the guitar?
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A pickup allows for the guitarist to plug into a sound system.
Reference 1: Please list the Name, Title, Email, Phone, and Relationship to you of your first character reference below.
*
Reference 2: Please list the Name, Title, Email, Phone, and Relationship to you of your second character reference below.
*
While not mandatory, do you have a contact in the United States that can deliver your guitar? There are some instances where we are unable to ship directly to specific places around the world. In some cases, the safest, most secure delivery can be a hand delivered guitar.
Please give as much information about your United States contact. (Name, phone, email address, etc..)
