Band Instrument Rental Application

Band Instrument Rental Application

Please call the store, we are not accepting any additional reservations at this time.
*

First Name Last Name
Birth Date:*

Month Day Year
Home Phone Number:*

Area Code Phone Number
Mobile Number:

Area Code Phone Number
Email Address:*
Primary Address:*

Street Address

Street Address Line 2

City State / Province

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How Long Have You Been At Your Current Address*

Less than a year.Between 1 and 5 yearsOver 5 years
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Employer Or Spouse Employer*
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Employer Address

Street Address

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City State / Province

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How Long Have You Been Employed At Your Current Job*

Less than a year.Between 1 and 5 yearsOver 5 years
Instrument you wish to rent*

ClarinetTrumpetFluteTromboneAlto Sax1/2 Violin3/4 Violin4/4 Violin13" Viola14" Viola15" Viola16" Viola1/2 Cello3/4 Cello4/4 CelloPercussion Kit (Bell & Snare)Snare
Please call the store (360)786-6000 or email us to check on availability of the instrument you wish to rent. Currently all rentals are first come first serve. We cannot hold or reserve rentals at this time.
Please make any requests here:
School Information
Student's Name*
Student's School*
School Phone Number

Area Code Phone Number
Year in School:*
Family Information
Nearest Relative/Emergency Contact (Not at same address):*

First Name Last Name
Contact Phone Number:*

Area Code Phone Number
City/State*
Relationship to Student:*
E-mail Address:
Should be Empty:

Band Instrument Rental Application

Please call the store (360)786-6000 or email us to check on availability of the instrument you wish to rent. Currently all rentals are first come first serve. We cannot hold or reserve rentals at this time.

School Information

Family Information