Looking to rent an instrument? Why not save some time and fill out your information here online? Reserve your instrument and make the process hassle-free!!
Rental Agreement:
  1. Lease payments will apply toward purchase of this instrument or a better model of the same instrument.
  2. The undersigned agrees to ASSUME LIABILITY against fire and theft and also agrees TO PAY FOR ANY DAMAGE to the instrument, case, and accessories other than normal wear.
  3. If the client does not wish to continue this lease after minimum period, THE INSTRUMENT MUST BE RETURNED TO THE CHICAGO STORE, 130 E. Congress, at which time ALL LEASE FEES AND LATE CHARGES MUST BE PAID IN FULL.
  4. If instrument is not returned by due date, one month additional rent will be charged for each 30 day period, or any part thereof.
  5. A LATE CHARGE OF $10.00 PER MONTH, PER PAYMENT PAST DUE WILL BE ADDED TO ANY PAYMENT NOT MADE WITHIN 10 DAYS OF DUE DATE, (24% PER YEAR), WITH A MINIMUM CHARGE OF $10.00 PER MONTH.
  6. BAND DIRECTORS ARE NOT REQUIRED TO RECEIVE RETURNED INSTRUMENTS.
  7. I hereby acknowledge receipt of said instrument and further agree that upon my failure to comply with the terms herein, THE CHICAGO STORE reserves the right to terminate this agreement without notice and to REPOSSESS SAID INSTRUMENT. I hereby agree to pay ALL FEES if it becomes necessary to place this lease agreement for collection due to non-compliance with the above terms.
  8. BY SIGNING THIS AGREEMENT, I AGREE THAT NO REPRESENTATIONS OTHER THAN THOSE IN THE AGREEMENT HAVE BEEN MADE TO ME AND I FULLY UNDERSTAND THE CONTENTS OF THIS AGREEMENT.

 
NOTE: APPLICATION MUST BE FILLED OUT COMPLETELY TO RENT AN INSTRUMENT.

Parent's Name (or Your Name if not a student):
Last: First: MI:
Social Security No.:
Birthdate: M/D/Y/   Home Phone:
Employed by:
Position:   Business Phone: Ext:
Years
Email:
Spouse's Name:
Last: First: MI:
Social Security No.:
Spouse's Employer:
Position:   Business Phone: Ext:
How Long?

Present Address:  
Street Apt #
City State Zip
Years

Renting Home (If checked, list landlord)
     Landlord's Name:   Phone #:
Buying Home

School: Grade:
Music Instructor:
Student's First Name:   Last Name:
Instrument You Want To Rent:

Name, Address, and Phone of a Friend/Relative Not Living with you:
Last: First: MI:
Street   Apt #
City   State  Zip
Home Phone:

Credit Card Type:
Credit Card Number:
Expiration Date:
Name on Card:

Which Rental Plan are you selecting: 
PLAN 1 (regular plan) -            PLAN 2 ($5/month for 1st 2 months)

 
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