AMEND MUSIC CENTER STRING INSTRUMENT RENTAL FORM

1. ½ or ¾ Violin or Viola___________________________________Lease: $150.00    Rental: $20.00

2. Full Violin or Viola__________________________________Lease: $150-$320    Rental: $25-$45

3. ½ or ¾ Cello______________________________________Lease: $320.00     Rental: $45.00

Add current WA state sales tax to all fees

Please Select One:

School Year Lease

The period of this lease shall begin on the ________ day of ______________20______ and shall end June 15, 20______. The lease amount for this period shall be $____________. At the end of the lease, you may either return the instrument with no further obligation or continue on a month to month basis; it all depends on your needs. This lease is non- refundable and is not pro-rated. The lessor agrees to provide FREE maintenance exclusive of damage due to negligence for the entire lease period. The signature below acknowledges the receipt of stated instrument.

Monthly Rental Agreement

This period of the lease shall be initially for one month beginning on the ________ day of ______________ 20______. This period may be extended from month to month and payment must occur before the _______ of the month. The monthly rental fee shall be $___________. All rental payments on full size instruments will apply to the purchase price, and half of all rental paid for ½ or ¾ size instruments will apply to the purchase price of a full size instrument, providing there has been no break in the rental period and payments have not been delinquent. Instrument may be returned at any time and lessee will be under no further obligation, providing rent has been paid up through the month of the return. Delinquent accounts of 90 days or more will be due immediately for the full amount of the instrument along with all reasonable expenses incurred in efforts to collect indebtedness. Lessor will provide FREE maintenance exclusive of damage due to negligence. The signature below acknowledges the receipt of stated instrument.

LESSOR: AMEND MUSIC CENTER

LESSEE:______________________________________

The LESSOR hereby agrees to lease to the LESSEE, the following musical instrument.

DESCRIPTION

_____________________________________________________________________________

RETAIL PRICE ______________

SALES TAX ______________

TOTAL ______________

Name in Full_______________________________Phone_____________SS#_____________

Physical Address________________________City_____________State_____Zip__________

Mail Address(if different)________________________________________________________

Previous Address__________________________________________Date of Birth__________

Place of Employment___________________Address___________________Phone__________

Driver's License__________________________Bank/Branch___________________________

Spouse's Full Name_______________________Phone_____________SS#______________

Address________________________________________________Date of Birth___________

Place of Employment___________________Address___________________Phone__________

Driver's License_________________________Bank/Branch____________________________

Student's Name__________________School_________________

Signed_________________________ Dated_____________

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