Instrument/Bow Home Trial Program
By Vermont Violins
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of Birth (Of Payee)
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Which would you like to try?
*
Violin
Viola
Cello
Which would you like to try? (Check all that apply)
*
Violin
Violin Bow
Viola
Viola Bow
Cello
Cello Bow
Bass Bow
Other
Please tell us the first item that you would like to try
*
Example - Arcus Bow S6 Round OR R Doetsch 4/4 Violin (Please be specific size, color, variant, etc.)
Value of first item
*
Please tell us the second item that you would like to try
*
Example - Arcus Bow S6 Round OR R Doetsch 4/4 Violin (Please be specific size, color, variant, etc.)
Value of second item
*
Enter N/A if no second item.
Please tell us the third item that you would like to try
*
Example - Arcus Bow S6 Round OR R Doetsch 4/4 Violin (Please be specific size, color, variant, etc.)
Value of third item
*
Enter N/A if no third item.
Trial Fees - Will be applied towards final purchase
*
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( X )
Total Items Under $2000
Please ensure you select the right option.
$99.00
$
99.00
Total Items $2001 - $4999
Please ensure you select the right option
$199.00
$
199.00
Total Items $5000 +
Please ensure you select the right option.
$299.00
$
299.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Additional Notes or Information
Trial Start Date
*
-
Month
-
Day
Year
Trial End Date
*
-
Month
-
Day
Year
Enter 21 days from the start date
I agree to the terms and condition of the Trial Program
*
The Home Trial shipment consists of product(s) sent to you on a deferred-billing sale. Customers will be invoiced for all items sent on trial, however, Customers will only be charged for items which they keep and/or which have not been received by Vermont Violins by the return date at the end of the trial period. This return date is calculated to allow for the 10-day trial period, plus shipping times to and from Vermont Violins. Modest extensions of the return date may be arranged by contacting us by phone or email. Vermont Violins will mail the initial invoice with the trial instruments/bows and send a payment receipt when the sale is finalized. This means that if we do not receive a product back after 3 weeks from the beginning of the trial, you will be responsible for the entirety of the invoice.
Signature
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