Trial Form

Flute Specialists Trial Request Form
We know how important it is for you to find the EXACT instrument to fit your needs and playing style. So in that spirit, we offer a one week trial to all musicians who need to try the instrument before they are comfortable purchasing. There are no fees associated with this trial, you just pay the shipping costs to and from the store. Need more information? Just contact us!

Personal Information
Name *

First Name Middle Name Last Name
Email *
Billing Address *

Street Address

Street Address Line 2

City State

Zip Code
Shipping Address: *

Same as Billing Enter Separate Shipping Address
Shipping Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Promo Code
Teacher’s Name & Affiliation
Teacher’s Email
Teacher's Phone Number

Area Code Phone Number

Instruments to Trial
Please send the following instrument(s) / headjoint(s) / accessories for trial with the option to purchase. You may request up to four (4) instruments for a one week trial using this form:

Instrument One
Instrument 1 Make / Brand *
Instrument 1 Model *
Instrument 1 Serial Number (Optional)
Instrument 1 Additional Features

Instrument Two
Instrument 2 Make / Brand
Instrument 2 Model
Instrument 2 Serial Number (Optional)
Instrument 2 Additional Features

Instrument Three
Instrument 3 Make / Brand
Instrument 3 Model
Instrument 3 Serial Number (Optional)
Instrument 3 Additional Features

Instrument Four
Instrument 4Make / Brand
Instrument 4 Model
Instrument 4 Serial Number (Optional)
Instrument 4 Additional Features

Terms and Conditions / Acceptance
Signature *

I understand this is a legal representation of my signature. Clear
Should be Empty: