Musical Instrument Rental Agreement

After submitting your information you will be emailed a PDF copy of the agreement, completed with the information you have provided. After we process your request you will receive an email with the make, model and serial number number of the instrument we are providing for you.

* = Required Field

Personal Info

Parent's First & Last Name*

Student's First & Last Name*

Address*

City*

Zip*

Phone*

Email Address*

Instrument/School Info

We rent all instruments on a quarterly basis. ALL PRICES INCLUDE INSURANCE.
(Select instrument to see prices.)

Select Instrument Needed*
—Please choose an option—ALTO SAXOPHONE: $116.00/ 3 MO.TENOR SAXOPHONE - $141.00/ 3 MO.SOPRANO SAXOPHONE - $141.00/ 3 MO.BARITONE SAXOPHONE - $264.00 / 3 MO.----Bb CLARINET - $68.00 / 3 MO.Bb CLARINET (WOOD) - $83.00 / 3 MO.BASS CLARINET - $141.00 / 3 MO.----FLUTE - $68.00 / 3 MO.PICCOLO / $68.00 / 3 MO.----TRUMPET- $68.00 / 3 MO.CORNET / $68.00 / 3 MO.TROMBONE - $68.00 / 3 MO.BARITONE / EUPHONIUM - $141.00 / 3 MO.FRENCH HORN (SINGLE) -$141.00 / 3 MO.FRENCH HORN (DOUBLE) - $199.00 / 3 MO.TUBA - $264.00 / 3 MO.----OBOE - $116.00 / 3 MO.BASSOON - $199.00 / 3 MO.----Percussion Kit - $68 / 3 MO.Percussion Kit with Snare - $89 / 3 MO.----VIOLIN (Full or 3/4 Size) $68.00 / 3 MO.VIOLIN (1/2 or 1/4 Size) - $40.00 / 3 MO.VIOLA - $68.00 / 3 MO.CELLO - $ 89.00 / 3 MO.DOUBLE BASS - $141.00 / 3 MO.

Delivery Option* (We deliver free to your school!)
—Please choose an option—In-store pick upFree school drop-off

School Name*

Date Needed By (Optional)

Payment Info

Name on Card*

Card Type
—Please choose an option—VisaMastercardAmerican ExpressDiscover

Credit Card Number* (Include Spaces)

3-Digit (CVV) Code on Back of Card*

Expiration Date*

Agreement

I agree to the terms and conditions.

I am aware of your Privacy Policy

I agree to enter my initials as my digital signature

Your Initials