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*

Violin Size

Viola Size

Cello Size

Delivery Option* (We deliver free to your school!)

School Name*

Date Needed By (Optional)

Payment Info

Name on Card*

Card Type

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