Instrument Rental Form

Northern Rivers Music Instrument Rental Application

Instrument rental is a great way to 'test the waters' before making the investment of purchasing.

Our rental program has a minimum three month rental period. We offer you the option to purchase your instrument between the first 3-6 months. During this period, any rental payments you have made will be deducted from your pre-agreed purchase price. This will be discussed with you when commencing your rental agreement.

Rental instruments are subject to availability, and we recommend you enquire on availability before submitting this form.

All of our instruments are cleaned and serviced before leaving the workshop. Subject to availability, preferred brands may be requested. Prices listed below is the monthly fee for student line instruments only.

Flute	$40
Clarinet	$40
Alto Saxophone	$60
Tenor Saxophone	$70
Trumpet	$40
Trombone	$55

By submitting this form, you are acknowledging that you have read, and agree, to all of our rental terms and conditions.

A link to these terms and conditions are located on the tuition page on our website.

Instrument Rental Application

Rent to Buy options!
Hirer Name (must be over 18 yrs of age)*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

House/Unit number

Street Name

CityState / Province

Postcode
Drivers Licence number *
Drivers License Expiry *
Name of student using the instrument - if different from hirer

First NameLast Name
Choice of Instrument*
I have read and agree to Northern Rivers Music's Rental terms and Conditions*

I agree to all Rental Terms and Conditions
Credit/Debit card details will be requested when you collect your instrument rental.
Comments Questions

PLEASE DO NOT COMPLETE THIS PAGE

This page will be completed when collecting your instrument. LEAVE THIS PAGE BLANK
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postcode
Credit/Debit Number
Card Expiry
I authorise Northern Rivers Music to deduct the amount of blanksa month from the nominated card above commencing onblank This will be for a minimum of 3 months.
INSTRUMENT
SERIAL NUMBER
AGREED RETAIL VALUE
ANY MARKINGS ON INSTRUMENT OR CASE TO NOTE:
INCLUDED IN CASE:
I, agree to all of the rental terms and conditions outlined on Northern Rivers Music website.
Date Signature
NRM Signature and date

Clear
Should be Empty:

Northern Rivers Music Instrument Rental Application

Instrument Rental Application

PLEASE DO NOT COMPLETE THIS PAGE