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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
BEGINNING BAND TRIAL SPECIAL
Get your first TWO (2) months rental for just $10 ($20-Alto Sax).

Normal rates effective beginning of third month. Offer Limited to One (1) per Student

NEARLY NEW, RENTAL RETURN, & ECONOMY INSTRUMENTS ARE SUBJECT TO AVAILABILITY
Select an Instrument
FLUTE
CLARINET
ALTO SAXOPHONE
TRUMPET
TROMBONE
PERCUSSION

Choose a Percussion Style
SNARE DRUM
BELL KIT
COMBO KIT (BELL & SNARE)

Flute
T
Clarinet
T
Alto Saxophone
T
Trumpet
T
Trombone
T
Snare Drum
T
Bell Kit
T
Combo Kit
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 rental level will be charged to your payment source on your designated renewal date. Payments will continue until such time as the instrument returned or your accumulated payments equal the purchase value located on your finalized rental agreement.

FLUTE MONTHLY PAYMENT PLANS

$37.00 PER MONTH - NEW
$30.00 PER MONTH - NEARLY NEW
$25.00 PER MONTH - RENTAL RETURN
$20.00 PER MONTH - ECONOMY
CLARINET MONTHLY PAYMENT PLANS

$37.00 PER MONTH - NEW
$30.00 PER MONTH - NEARLY NEW
$25.00 PER MONTH - RENTAL RETURN
$20.00 PER MONTH - ECONOMY
ALTO SAXOPHONE MONTHLY PAYMENT PLANS

$55.00 PER MONTH - NEW
$50.00 PER MONTH - NEARLY NEW
$45.00 PER MONTH - RENTAL RETURN
$40.00 PER MONTH - ECONOMY
TRUMPET MONTHLY PAYMENT PLANS

$37.00 PER MONTH - NEW
$30.00 PER MONTH - NEARLY NEW
$25.00 PER MONTH - RENTAL RETURN
$20.00 PER MONTH - ECONOMY
TROMBONE MONTHLY PAYMENT PLANS

$37.00 PER MONTH - NEW
$30.00 PER MONTH - NEARLY NEW
$25.00 PER MONTH - RENTAL RETURN
$20.00 PER MONTH - ECONOMY
BELL OR SNARE MONTHLY PAYMENT PLANS

$29.00 PER MONTH - NEW
$25.00 PER MONTH - NEARLY NEW
$21.00 PER MONTH - RENTAL RETURN
BELL OR SNARE MONTHLY PAYMENT PLANS

$29.00 PER MONTH - NEW
$25.00 PER MONTH - NEARLY NEW
$21.00 PER MONTH - RENTAL RETURN
BELL/SNARE COMBO MONTHLY PAYMENT PLANS

$37.00 PER MONTH - NEW
$30.00 PER MONTH - NEARLY NEW
$25.00 PER MONTH - RENTAL RETURN
 
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 dollars per month)
LESSON BOOK / STARTER PACKAGE
LESSON BOOK - Accent on Achievement Book 1
LESSON BOOK - Accent on Achievement
Beginners Basics Band Bag - Flute
Beginners Basics Band Bag - Clarinet
Beginners Basics Band Bag - Alto Saxophone
Beginners Basics Band Bag - Trumpet
Beginners Basics Band Bag - Trombone
Beginners Basics Band Bag - Percussion
The Beginner`s Basics Band Bag contains the necessary accessories needed to begin playing.

Each Kit Contains:
A Black Wire Music Stand
An Instrument Specific Care Kit w/ Swabs, Lubricants, & Daily Cleaning Supplies
10 Director Approved Reeds (Clarinet & Saxophone Only)
A Stick Bag (Percussion Only)
A LA CARTE ACCESSORY ITEMS
Just need a few items? Check out our available accessories for your instrument.
Remember, If you purchased a Band Bag many of these items are already included!
Folding Wire Music Stand (Black)
Flute Care and Cleaning Kit
Hodge Silk Flute Swab
Clarinet Care and Cleaning Kit
Hodge Silk Clarinet Swab
Selmer Cork Grease

Alto Saxophone Care and Cleaning Kit
Hodge Silk Alto Saxophone Swab
Selmer Cork Grease

Trumpet Care and Cleaning Kit
Selmer Polishing Cloth
Al Cass Valve / Slide Oil
Bach Tuning Slide Grease
Trumpet B.E.R.P. (Buzz Extension & Resistance Piece)
Trombone Care and Cleaning Kit
Selmer Polishing Cloth
Al Cass Valve / Slide Oil
Bach Trombone Slide Cream
Trombone Water Mist Sprayer Pen
Bach Tuning Slide Grease
Trombone B.E.R.P. (Buzz Extension & Resistance Piece)
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

SCHEDULED DELIVERY TO GREEN INTERMEDIATE SCHOOL: Delivery will be set by instructor for fall of 2024 at a special `First Lesson` event. Your Trial period will not start until time of delivery. For immediate delivery please select `Pick-up in Store` or call for special delivery arrangements.
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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