Reserve Your Rental Instrument

Rental History
Have you rented from us previously?	Yes No
If yes, would you like free instrument delivery to your school? (Delivery available for Whatcom, Skagit and Island counties only)	Yes No
Rental Information
Student's Name (first and last)	* required
School	* required
Instrument Type	Select an Instrument Cello Viola Violin ---------- Clarinet Clarinet - Bass Flute Piccolo Oboe Saxophone - Alto Saxophone - Tenor Trumpet Trombone ----------- Bell Kit Percussion Combo Kit Snare Kit
Size (For string instruments only) (Learn how to measure)
Condition	Used New
Pickup date (e.g. mm/dd/yyyy) (Enter a date to pick up your instrument by. If no date is entered we'll hold it for 2 weeks.)
Contact Information
Renter's Name (first and last) (** Note: Must be 18 years or older. This person will bear responsibility for the contract, payments, and any damages to the instrument.)	* required
Email Address
Confirm Email Address
Mailing Address
City
State (e.g. WA)
Zip Code
Street Address (if different)
City
State
Zip Code
Home Phone (e.g. 123-456-7890)
Work Phone
Cell Phone
Additional Information
Employer Name (if employed)
Years at Job
Spouse/Partner Name (if applicable)
Employer
Closest Relative NOT Living with You
Phone
How Related