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CUSTOMER 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.
STUDENT AND SCHOOL
Student`s Name*

Grade*

School / Building*

DELIVERY OPTIONS
Deliver to Students School
Pick-up in Store (Allow 48 business hours to process)
Curbside Pick-Up (Allow 48 business hours to process)

INSTRUMENT SELECTION
LET US HELP YOU NARROW DOWN YOUR CHOICES, SELECT THE INSTRUMENT THAT YOU NEED ACCESSOIES FOR AND WE WILL SHOW YOU YOUR BEST OPTIONS
Select an Instrument
FLUTE
CLARINET
ALTO SAXOPHONE
TRUMPET
TROMBONE
PERCUSSION

LESSON BOOK / STARTER PACKAGE OPTIONS
Lesson Book
T
Lesson Book
T
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 - Trumpet w/ B.E.R.P.
Beginners Basics Band Bag - Trombone
Beginners Basics Band Bag - Trombone w/ B.E.R.P.
Beginners Basics Band Bag - Percussion
The Beginner`s Basics Band Bag contains the necessary accessories needed to begin playing.

Each Kit Contains:
One Black Wire Music Stand
One Instrument Specific Care Kit w/ Swabs, Lubricants, & Daily Cleaning Supplies
10 Director Approved Reeds (Clarinet & Saxophone Only)
One Metronome or Stick Bag(Percussion Only)
ADDITIONAL ACCESSORY ITEMS
Selmer Folding Music Stand (Black)
Quick Time QT-5 Mini Metronome
Kaces Standard Stick Bag
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 - Cleaning Cloth
Trumpet Valve Oil
Tuning Slide Grease
Trumpet B.E.R.P. (Buzz Extension & Resistance Piece)
Trombone Care and Cleaning Kit
Selmer - Cleaning Cloth
Trombone Slide Oil
Trombone Slide Cream
Trombone Slide Water Sprayer
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*

TERMS & CONDITIONS
***The Credit Card provided will be charged once the order has been fully processed by our sales staff. We will notify you by phone when your order is ready to be picked-up or if there are any issues in processing your request. Orders scheduled for delivery will be sent to your child`s school on our designated weekly school visitation day and left with either office staff or the band director, with the student`s name clearly printed on the package***
I have read and accept these therms and conditions.*
 

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