Greenwich Music Instrument Rental Agreement

Name of Lessee (parent or responsible party)*

First NameLast Name

Student Name*

School Name*

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Instrument Rental Information

For our current rental rates, go to https://www.greenwichmusic.com/rentals.htm

Instrument to Rent for the School Year*

School Year Rental

Payment information

Card number/info*

CARD EXPIRATION DATE

3 (OR 4) DIGIT SECURITY CODE:BILLING ZIP CODE

NAME ON CARD

By signing below, I acknowledge that I am the above cardholder and agree to all of the following rental fees and policies. All rental fees are non-refundable. There are no refunds or credits for early returns. The rental fee covers general maintenance and repairs, all of which must be performed by Greenwich Music. Any damage to a rented instrument due to negligence will not be covered by Greenwich Music and will be the responsibility of the lessee. Theft is covered if a police report is obtained and a written copy is supplied to Greenwich Music with 48 hours of the incident. Specific instrument brand, size( if applicable) and serial number will be assigned by Greenwich Music and may be exchanged for a different instrument at the discretion of Greenwich Music. SCHOOL YEAR RENTALS are due for return or renewal on the next June 30th to occur following the date of this agreement. Rentals not renewed or returned by the June 30th date will be renewed automatically. The credit card on file will be charged the full rental fee plus applicable sales tax, including any rate increases, for the following school year and the original contract will convert to another school year rental and charged annually every June 30th until the instrument is returned. A receipt will be generated once a rental instrument is returned. Rental prices are subject to change. Monthly rentals will be charged on the due date each month until the instrument is returned. MONTHLY RENTALS MAY NOT BE CONVERTED TO SCHOOL YEAR RENTALS. The lessee agrees that Greenwich Music is authorized to charge the card left on file for all rental fees and to notify Greenwich Music of any changes to the card on file in regarding the number, expiration date, or code throughout the rental period to ensure a valid card is on file at all times. Lessee is responsible for any collection and/or attorney fees associated with past due rental fees. The rental contract may be renewed in person, by phone, or online at greenwichmusic.com.*