online rental form | Austin Music Center

DATE

STRINGS

SIZE

LAST NAME

FIRST NAME

INSTRUMENT

PHONE

ADDRESS

CITY

ZIP CODE

ALTERNATE PHONE

LAST NAME (STUDENT)

RENTAL PROTECTION PLAN*

FIRST NAME (STUDENT)

SCHOOL

FREE AUTOMATIC PAYMENT PLAN

STUDENT'S BIRTHDAY

YOU NEED A VALID CREDIT CARD NUMBER TO RENT AN INSTRUMENT.
FOR YOUR PROTECTION, WE DO NOT REQUIRE A CREDIT CARD NUMBER ONLINE. PLEASE BRING A VALID CREDIT CARD WHEN YOU PICK UP YOUR INSTRUMENT OR CALL US.
THE CHARGE WILL INCLUDE THREE MONTHS RENT AND RENTAL PROTECTION, IF SELECTED.
THE CARD WILL ALSO BE USED FOR THE AUTOMATIC PAYMENT PLAN, IF SELECTED.
IF YOU WANT TO USE A DIFFERENT CREDIT CARD FOR THE AUTOMATIC PAYMENT PLAN, PLEASE BRING BOTH CARDS WHEN YOU PICK UP YOUR INSTRUMENT.

I HAVE READ AND AGREE TO AUSTIN MUSIC CENTER'S TERMS AND CONDITIONS OF INSTRUMENT RENTAL AND OTHER OPTIONAL PLANS.

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rent your school instrument from AUSTIN MUSIC CENTER