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NY Quality Strings Rental & Accessories Order Form
Customer Information
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
*Name
Child`s Name if applicable
Child`s School if applicable
Music Teacher Name
Music Teacher Contact Number
How Did You Find Us?
Teacher Referral
Teacher Referral
School Referral
Personal Referral
Internet Search
Choose your instrument
*Instrument
Choose a Instrument
Violin
Viola
Cello
*Instrument Level
Standard
Quality
Advanced
*Violin Size
Choose a Violin Size
4/4
3/4
1/2
1/4
1/8
1/10
1/16
1/32
*Viola Size
Choose a Viola Size
16.5"
16"
15"
14"
13"
12"
11"
*Cello Size
Choose a Cello Size
4/4
3/4
1/2
1/4
1/8
1/10
Choose your Violin Rental Term and Insurance Option
Standard Violin
Choose Term and Insurance Option
Standard Violin Annual Rental with Insurance $260.00
Standard Violin Annual Rental without Insurance $200.00
Standard Violin 3 Month Rental with Insurance $84.00
Standard Violin 3 Month Rental without Insurance $66.00
Standard Violin 6 Month Rental with Insurance $168.00
Standard Violin 6 Month Rental without Insurance $132.00
Quality Violin
Choose Term and Insurance Option
Quality Violin Annual Rental with Insurance $310.00
Quality Violin Annual Rental without Insurance $240.00
Quality Violin 3 Month Rental with Insurance $99.00
Quality Violin 3 Month Rental without Insurance $78.00
Quality Violin 6 Month Rental with Insurance $198.00
Quality Violin 6 Month Rental without Insurance $156.00
Advanced Violin
Choose Term and Insurance Option
4/4 size 3 Month Rental with Insurance $162.00
4/4 size 3 Month Rental without Insurance $138.00
4/4 size 6 Month Rental with Insurance $324.00
4/4 size 6 Month Rental without Insurance $276.00
4/4 size Annual Rental with Insurance $520.00
4/4 size Annual Rental without Insurance $440.00
3/4 size 3 Month Rental with Insurance $162.00
3/4 size 3 Month Rental without Insurance $138.00
3/4 size 6 Month Rental with Insurance $324.00
3/4 size 6 Month Rental without Insurance $276.00
3/4 size Annual Rental with Insurance $520.00
3/4 size Annual Rental without Insurance $440.00
Choose your Viola Rental Term and Insurance Option
Standard Viola
Choose Term and Insurance Option
Standard Viola Annual Rental with Insurance $270.00
Standard Viola Annual Rental without Insurance $210.00
Standard Viola 3 Month Rental with Insurance $87.00
Standard Viola 3 Month Rental without Insurance $69.00
Standard Viola 6 Month Rental with Insurance $174.00
Standard Viola 6 Month Rental without Insurance $138.00
Quality Viola
Choose Term and Insurance Option
Quality Viola Annual Rental with Insurance $340.00
Quality Viola Annual Rental without Insurance $270.00
Quality Viola 3 Month Rental with Insurance $108.00
Quality Viola 3 Month Rental without Insurance $87.00
Quality Viola 6 Month Rental with Insurance $216.00
Quality Viola 6 Month Rental without Insurance $174.00
Advanced Viola
Choose Term and Insurance Option
16.5`` size Advance Viola Annual Rental with Insurance $620.00
16.5`` size Advance Viola Annual Rental without Insurance $540.00
16.5`` size Advance Viola 3 Month Rental with Insurance $192.00
16.5`` size Advance Viola 3 Month Rental without Insurance $168.00
16.5`` size Advance Viola 6 Month Rental with Insurance $384.00
16.5`` size Advance Viola 6 Month Rental without Insurance $336.00
16`` size Advance Viola Annual Rental with Insurance $620.00
16`` size Advance Viola Annual Rental without Insurance $540.00
16`` size Advance Viola 3 Month Rental with Insurance $192.00
16`` size Advance Viola 3 Month Rental without Insurance $168.00
16`` size Advance Viola 6 Month Rental with Insurance $384.00
16`` size Advance Viola 6 Month Rental without Insurance $336.00
15`` size Advance Viola Annual Rental with Insurance $620.00
15`` size Advance Viola Annual Rental without Insurance $540.00
15`` size Advance Viola 3 Month Rental with Insurance $192.00
15`` size Advance Viola 3 Month Rental without Insurance $168.00
15`` size Advance Viola 6 Month Rental with Insurance $384.00
15`` size Advance Viola 6 Month Rental without Insurance $336.00
Choose your Cello Rental Term and Insurance Option
Standard Cello
Choose Term and Insurance Option
Standard Cello Annual Rental with Insurance $460.00
Standard Cello Annual Rental without Insurance $370.00
Standard Cello 3 Month Rental with Insurance $144.00
Standard Cello 3 Month Rental without Insurance $117.00
Standard Cello 6 Month Rental with Insurance $288.00
Standard Cello 6 Month Rental without Insurance $234.00
Quality Cello
Choose Term and Insurance Option
Quality Cello Annual Rental with Insurance $650.00
Quality Cello Annual Rental without Insurance $550.00
Quality Cello 3 Month Rental with Insurance $201.00
Quality Cello 3 Month Rental without Insurance $171.00
Quality Cello 6 Month Rental with Insurance $402.00
Quality Cello 6 Month Rental without Insurance $342.00
Advanced Cello
Choose Term and Insurance Option
3 Month Rental with Insurance $297.00
3 Month Rental without Insurance $264.00
6 Month Rental with Insurance $594.00
6 Month Rental without Insurance $528.00
Annual Rental with Insurance $970.00
Annual Rental without Insurance $860.00
Preference for pickup - (At least one business day advanced notice required)
*Date
+1 business day
*Time
Non-business hours are okay
Accessories for Purchase
Shoulder Rests
Choose
Shoulder Rests
Kun Collapsible for Violin (4/4) $31.00
Kun Collapsible for Violin (3/4-1/2) $29.00
Kun Collapsible for Violin (1/4-1/16) $26.00
Kun Collapsible for Viola $32.00
Black Sponge for all sizes $5.20
Music Stand
Choose
Music Stand
Portable fully adjustable folding Music Stand - Blue $30.00
Portable fully adjustable folding Music Stand - Red $30.00
Portable fully adjustable folding Music Stand - Black $30.00
Portable fully adjustable folding Music Stand - Chrome $30.00
Music Books
Choose
Music Books
Suzuki Level 1 Book $16.60
Suzuki Level 2 Book $16.60
Suzuki Level 3 Book $16.60
Suzuki Level 4 Book $16.60
Suzuki Level 5 Book $16.60
Suzuki Level 6 Book $16.60
Suzuki Level 7 Book $16.60
Suzuki Level 8 Book $16.60
O`Connor Violin Method Book + CD volume 1 $29.95
O`Connor Violin Method Book + CD volume 2 $29.95
Cello Endpin Holder
Choose
Cello Endpin Holder
Sure Stop (AKA ``Rock Stop``) $10.99
Artino or Xeros stopper $22.82
Other Accessories:
Choose Other Accessories
Glasser Portable Cello Stand $107.60
Korg TM-60 Combo Tuner/Metronome $29.99
Core - ET20 Clip Tuner $19.50
Sub Total:
NY State Tax
Grand Total
Billing Information
*First Name:
Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:
Apt. or Suite No.
*City:
*State:
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State
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Payment Information
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*Expiration Month:
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From your card
*Expiration Year:
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2032
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*I understand and hereby agree to electronically sign the NY Quality Strings Terms and Conditions
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