Online Rent-To-Own Form

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone*

Please enter a valid phone number.

Cell Phone*

Please enter a valid phone number.

Work Phone

Please enter a valid phone number.

Email*

example@example.com

Driver's License*

Please submit a picture of your driver's license.

Credit Card*

Please submit a picture of your credit card.

Have you rented with L & L Music previously?*

YesIf no, a Credit Check Authorization Form must be submitted in the box below. Failure to submit will result in delays.

New Renters are REQUIRED to submit a Credit Check Authorization Form. Failure to submit this form will result in delays. The form is available on our website.

Student's Name & School*

NameSchool

Instrument*

Don't see your instrument? Please call us at 301-948-7273 to inquire.

All of our instruments come with everything the player needs to get started:

-Flutes/Piccolos: Cleaning Rod

-Clarinets: 2 Reeds, Cork Grease, Swab

-Saxophones: 2 Reeds, Cork Grease, Swab, Neck Strap

-Brass: Valve/Rotor/Slide Oil, Tuning Slide Grease

-Oboes/Bassoons: 1 Reed, Cork Grease, Swab

Instrument Condition (rental rate varies by condition)*

NewUsedStep-Up (if available)

Our used instruments have been thororughly inspected in our on-site repair shop and are in top playing condition buy may have some cosmetic flaws.

Comments/Addtional Accessories (music book, music stand, extra reeds, etc.):

Maintenance-Insurance Plan (additional):*

YesNo - If you decline our Maintenance-Insurance plan you understand that you are responsible for all repairs, damages, loss or theft to the instrument you rent while under this contract.

Preferred communication method to review your Rental Contract details:*

CallTextEmail

Billing Preference:*

Auto Charge - Your credit card will be automatically charged on the same day every three months.Statement - We will send you a statement in the mail 2-4 weeks before the next rent is due for you to make payment arrangements.

Terms & Conditions:*

Approved new/previous renters will be notified per their communication preference with all the fine details on the contract BEFORE charging your credit card. Verbal/Written approval from the renter is required before we complete the contract. After we receive your approval, we will send an email for you to digitally sign the rental contract. Once we receive the signed contract the instrument will be ready for pick up or delivery to your child's school music teacher. For additional terms & conditions please read our Rent-to-Own contract on our website.Check here if you would like the instrument delivered to your child's school. (within Montgomery County ONLY)