Conn. Valley School of Music

Instrument Rent to Own Agreement

Part One

Billing Information   Mr.      Mrs.      Ms.

    First Name:       Middle Initial:       Last Name:  

    Street Address:       Apt. #:       P.O. Box #:  

    City:       State:       Zip Code:  

    Area Code:       Home Phone # REQUIRED:  

Part Two

Credit Information     Have you Rented from us Before?    Yes     No

    Credit Card:       Card #:       Expiration Date: 
    Credit Reference:       Number:  

    Employer Name & Address:  

    Area Code:       Employer Phone #:  

Part Three

Student Information     Student Name:      Middle Initial:      Last Name:

    School:       Grade:  

    Band/Orchestra Teacher:  

Part Four

Instrument Information
     $30.00 Rental Fee
         1.80 Tax
         7.00 Optional Protection Plan
     $38.80 TOTAL
  Used New
Clarinet $519.00 $579.00
Flute $565.00 $625.00
Trumpet $599.00 $699.00
Trombone $599.00 $699.00
Percussion Kit $279.00 $329.00
Snare Drum Kit $279.00 $329.00
Violin $499.00 $599.00
Viola $549.00 $649.00
 
 
     $75.00 Rental Fee
         4.50 Tax
         10.00 Optional Protection Plan
     $89.50 TOTAL
  Used New
Alto Sax $1149.00 $1299.00
Piccolo $699.00 $799.00
Cello $1149.00 $1299.00
     $116.00 Rental Fee
          6.96 Tax
        16.00 Optional Protection Plan
     $138.96 TOTAL
Oboe $1249.00 $1399.00
Tenor Sax $1419.00 $1599.00
French Horn $1629.00 $1299.00
Baritone $1755.00 $1959.00

      Violin, Viola, Cello ONLY -   Instrument Size  

      If you're not sure of the instrument size, check with your music teacher. Or you can contact us
      at 1-800-282-2069 and arrange for us to measure your child.

Part Five

Order Summary
Rental Summary
Optional Protection Plan  Yes  No
Rental Fee
Optional Accessories
Lesson Book    
Folding Music Stand   $12.50
Drum Pad & Sticks   $12.00
Tunable Drum Pad, Sticks & Stand   $59.95
Other:
Totals
Sub Total: (Rental Fee + Accessories)
6% Sales Tax
Total:
 Credit Card (Indicated in Part Two)     Check Enclosed


Part Six

Contract Terms
  1. A Major Credit Card is required to rent an instrument.
  2. The instrument is rented on a Three Month basis. At the end of the initial rental period, the instrument may be re-rented at the follwing quarterly rates:
    • $ 75.00 plus tax - Clarinet, Flute, Trumpet, Trombone, Snare Drum, Percussion, Violin & Viola
    • $125.00 plus tax - Alto Sax, Piccolo & Cello
    • $175.00 plus tax - Oboe, Tenor Sax, French Horn & Baritone
  3. All Rental Fees paid on time will apply to the purchase price of the instrument (less tax and the optional protection plan), with the exception of String Instruments. The instrument may be purchased at any time within the rental term, or rented until paid in full.
  4. String Instrument Rentals: All rental fees to $360 on violins & violas, and to $620 on cellos, will be applied to the purchase price. Conn. Valley School of Music will exchange String Instruments (Violins, Violas & Cellos) for the next size at any time during the agreement, as required by the student.
  5. The Renter reserves the right to return the instrument to Conn. Valley School of Music at any time, therefore canceling the contract. The account must be up to date at the time of return. Upon return, all monies paid shall be considered rental fees. The Renter accepts full responsibility for the instrument until it is returned (in the same condition, less reasonable wear) to Conn. Valley School of Music.
  6. The Renter agrees to contact Conn. Valley School of Music before returning the instrument to the school to obtain a Return Authorization number. The instrument will remain the responsibility of the Renter until this number is obtained. All rental fees incurred before this number is obtained are due and payable in full.
  7. The Renter will be invoiced quarterly for the rental period. ALL RENTAL FEES ARE DUE IN ADVANCE. Rental payments are non-refundable. A minimum late fee of 5% per month will be assessed to all accounts 30 days past due. In the event that an account becomes 90 days past due, Conn. Valley School of Music will consider the Renter in default of contract. At such a time, the rental will be cancelled and the entire balance owed on the Agreement will become due on demand. Conn. Valley School of Music reserves the right to repossess the rental instrument in the event of contract default. The Renter remains liable for all rental fees incurred prior to the date of repossession, as well as all collection fees that are incurred.
  8. The Renter agrees to be liable for any expenses, including collection and attorney's fees, that are incurred due to contract default.
  9. Conn. Valley School of Music reserves the right to use credit card numbers in the event an account becomes 60 days past due.
  10. The Renter agrees to contact Music Works if they relocate out of state.
  11. This Contract may be cancelled within 72 hours by the Renter provided he give written notice to Conn. Valley School of Music.


    Signature: __________________________________________________________
    I have read and agree to the contract terms listed above.


    We must have your signature on file to fill this contract.



Complete the above contract in full, print and sign. Then, either:

  • FAX it to (860) 225-5140 (credit card orders only); or
  • MAIL it to:
    Conn. Valley School of Music
    226 Main Street
    Portland, CT 06480

Please Note: This form must be completed IN FULL before we can begin processing your order. Blank fields will result delays, as we will have to attempt to reach you by telephone.

Questions?? Please feel free to contact us at (860) 342-2270 between 12:00 and 9:00, Monday through Friday.