New Customer Rental Agreement

Student's name *

First Name

Last Name

Billing Name *

First Name

Last Name

Package Items *

Select what you need from the list below. All new rental customers will receive a complimentary Amadeus Strings two-pocket sheet music folder with their delivery if purchasing a package or additional accessories. If you are unsure of what you need, please contact your teacher before submitting an agreement.

Instrument only, no package

Beginning Student Package ($30) - Arlington, Hyde Park, Monroe Woodbury: Central Valley, Pine Tree, Spackenkill, Wappingers (Essential Elements Book 1 + Folding Music Stand)

Beginning Student Package ($30) - Cornwall, Monroe Woodbury: North Main (Sound Innovations Book 1 + Folding Music Stand)

Beginning Student Package ($30) - Kingston (Strings Basic Book 1 + Folding Music Stand)

Essential Elements Book 1 ($15)

Sound Innovations Book 1 ($15)

Strings Basic Book 1 ($15)

Suzuki Book 1 (prices vary)

Folding Music Stand ($20)

Everest Shoulder Rest ($17, black)

Everest Shoulder Rest ($19, indicate color in notes section at end: red; orange; green; blue; purple; hot pink; light pink; silver)

Kun Shoulder Rest ($28)

Snark Clip-onTuner ($15)

Korg TM-60 ($20)

Intelli IMT-301 ($30)

Set of Dominant or Helicore Strings (prices vary depending on instrument and size, card will be charged accordingly)

Primary contact *

First Name

Last Name

Alternate Contact

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary phone *

(###)

###

####

Alternate phone

(###)

###

####

I agree to the rental terms and conditions outlined in this contract. I agree to give a timely update to Amadeus Strings whenever contact, instrument, or payment information changes *

Yes/Agree

I authorize Amadeus Strings to charge the initial payment consisting of three month's rental fee plus any selected accessories or packages (if applicable) to the card provided upon receipt of this contract form. *

Yes/Agree