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STUDENT AND SCHOOL
Student`s Name*

Grade*

School / Building

RENTER (PARENTS) INFORMATION
First Name*

Middle Initial

Last Name*

Address*

Apartment

City*

State*

Zip Code*

Primary Phone:*


Home Mobile 

Secondary Phone:


Home Mobile 

E-Mail:*

IMPORTANT: Enter a valid e-mail address. Receipts will be sent to this address.
RENTER`S EMPLOYMENT INFORMATION
If Self-Employed, Retired, or Unemployed, please note in employer box and use home address.
Employer*

Employer Address*

Work Phone:*

City*

State*

Zip Code*

CREDIT AND IDENTIFICATION
Social Security No.*

Birthdate*

Drivers License Number*

Issuing State*

REFERENCE
We recommend listing a relative whom currently does not reside with you. DO NOT USE STUDENTS TEACHER/DIRECTOR
Reference Name*

Address*

Phone:*

City*

State*

Zip Code*

 
INSTRUMENT SELECTION
$10 TWO MONTH TRIAL
Rent a Violin, Viola, or Cello for just $10.00 Down!
Includes your first TWO months RENTAL

Select an Instrument
VIOLIN
VIOLA
CELLO

Violin
T
Viola
T
Cello
T
 
The price quoted reflects the total cost of your initial trial period. Once your trial period or promotion has expired a monthly recurring payment based on your instrument selection will be charged to your payment source on your designated renewal date. Payments will continue until such time as the instrument returned.

VIOLIN MONTHLY RENTAL

$18.00 per month after trail
VIOLA MONTHLY RENTAL

$20.00 per month after trial
CELLO MONTHLY RENTAL

$35.00 per month after trial
 
MAINTENANCE & REPLACEMENT PLAN (M&R)
M&R Enrollment*
ENROLL (Select plan below)
OPT OUT

``OPT OUT``: If you select the ``OPT OUT`` option you agree to the following statement.
``I do not desire to take advantage of the TBO Maintenance & Replacement Plan.
By doing so I understand that I am fully responsible for all maintenance, loss,
or damage which may occur to the instrument.``
Maintenance & Replacement plan (6.50 per month)
LESSON BOOK / STARTER PACKAGE
Measures of Success Book 1
Fiddle Fixins` Pack w/ Everest - Violin
Fiddle Fixins` Pack w/ Everest - Viola (12", 13", 14")
Fiddle Fixins` Pack w/ Everest - Viola (15", 15.5", 16")
Fiddle Fixins` Pack w/ Xeros - Cello
The Fiddle Fixins` Pack contains the necessary accessories needed to begin playing.

Each Kit Contains:
One Black Wire Music Stand
One Instrument Specific Care Kit w/ Cloth, Pitch-Pipe, & Daily Cleaning Supplies
Violin & Viola have choice of Shoulder Rest Options:
- Shoulder Pad (Sponge) -
- Everest Affixed Clip-On Shoulder Rest (Recommended) -
Cello has choice of Rock Stop Options:
- Traditional Rubber Disk -
- Xeros - Tethered style Rock Stop (Recommended for Tile/Smooth Floors) -
A LA CARTE ACCESSORY ITEMS
Just need a few items? Check out our available accessories for your instrument.
Remember, If you purchased a Fiddle Fixins` Pack many of these items are already included!
Selmer Folding Music Stand (Black)
Violin Care and Cleaning Kit
Everest Shoulder Rest
Viola Care and Cleaning Kit
Everest Shoulder Rest (12", 13", 14")
Everest Shoulder Rest (15" or Larger)
Cello Care and Cleaning Kit
Xeros - Tethered style Rock Stop
Knilling Cleaning Cloth
String Instrument Polish
Snark Electronic "Clip-On" Tuner
PAYMENT TOTALS
Sub-Total:
Tax (OH 6.75%):
Grand Total:
PAYMENT SOURCE - CREDIT CARD INFORMATION
Card Brand*

Card Number*

Exp Month*

Year*

CVV2*

DELIVERY OPTIONS
Deliver to Students School
Pick-up in Store

Akron/Ellet: 2526 Wedgewood Drive, Akron, OH 44312 (330) 733-4131
Stow: 3776 Fishcreek Road, Stow, OH 44224 (330) 673-5807
Select a Location
Akron / Ellet Stow 

RENTAL AGREEMENT TERMS & CONDITIONS
***I the renter have read and agree to the stated terms and conditions of this agreement as set forth by Taylor Band & Orchestra. If at any time I am unable or unwilling to make the agreed upon payment I understand that I am obligated to return the instrument to Taylor Band & Orchestra Inc. I authorize Taylor Band & Orchestra to charge my MC/VISA/DISC/AE number supplied for all monthly payments until such time that the instrument is returned to Taylor Band & Orchestra or the I fulfill the ``purchase option`` requirements. I understand that this agreement is subject to credit approval and I give my permission for Taylor Band & Orchestra to review my credit history by credit report whenever necessary.***
I have read and accept these therms and conditions.*
 

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