CREATE YOUR CUSTOMER PORTFOLIO
At Eastman we want to know about your preferences in musical instrument choice. As we develop new instruments and strive to serve our end users better, we like to utilize information from you, our valued customer. The information that you give us in this portfolio will help us send you information about new instruments, upcoming events, and also help your local dealer contact you about new /additional instrument purchase. As our company grows we want you to be able to update your portfolio and we will provide extra features to enable you to connect with the company.

Thank you for taking the time to complete this portfolio and welcome to the Eastman family.



First Name* Last Name*
Address* Email*
City* State*
Zip/Postal
Code*		 Country*
Telephone*
Sex Male Female Age
Profession Years Playing
School(s)s
attended		 Teachers Studied with



Musical Status Educator Performing Artist Student Part Time For Pleasure
I’d like to be contacted for an: Eastman Clinic Band Orchestra Other
My Favorite Eastman Dealer is , City , State
I play as a/an soloist orchestral musician chamber musician band musician
Name of ensemble or group



*Please list only one instrument per line.

Instrument Played Make Model Serial Number



Music Preference

Classical Jazz Pop Big Band Blues
Rock Be-Bop Folk Country
Other



What magazines do you read?



Interested in purchasing an instrument
Yes No

Interested in doing a trial?
Yes No

I teach: Privately Elementary School Middle School
High School College/University N/A
I specialize in: Suzuki Classroom teaching Private Teaching N/A