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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.
STUDENT AND SCHOOL
Student*

Grade*

School / Building*

DELIVERY OPTIONS
Deliver to Students School
Pick-up in Store (A notification will be sent when ready)

INSTRUMENT SELECTION
Select an Instrument
VIOLIN
VIOLA
CELLO

 
 
LESSON BOOK / STARTER PACKAGES
Lesson Book
T
LESSON BOOK - School Specific
Fiddle Fixins` Pack w/ Sponge - Violin
Fiddle Fixins` Pack w/ Everest - Violin
Fiddle Fixins` Pack w/ Sponge - Viola
Fiddle Fixins` Pack w/ Everest - Viola (12", 13", 14")
Fiddle Fixins` Pack w/ Everest - Viola (15", 15.5", 16")
Fiddle Fixins` Pack w/ Disk - Cello
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
Selmer Folding Music Stand (Black)
Violin Care and Cleaning Kit
Shoulder Right Shoulder Pad
Everest Shoulder Rest
Viola Care and Cleaning Kit
Shoulder Right Shoulder Pad
Everest Shoulder Rest (12", 13", 14")
Everest Shoulder Rest (15" or Larger)
Cello Care and Cleaning Kit
Cello Round Rock Stop
Xeros - Tethered style Rock Stop
Knilling Cleaning Cloth
String Instrument Polish
Tuning Pitch Pipe
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*

PAYMENT 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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