Musical Instrument Rental Agreement

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*

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

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