Band Department


Note: This is not an actual rental contract form. This form will be e-mailed to us and an educational representative will contact you. Please be sure to leave all necessary information. Remember, the rental contract agreements are not in effect until you, the customer, sign the actual form.
All plans are available to Rio Grande Valley residents only.
NO OUT OF AREA SUBMISSIONS PLEASE.
STUDENT INFORMATION
Student Name:
School:
If your school is not on the list:
Unlisted School Name:

BILLING INFORMATION
Customer Name:
Street:
City:
State:
Zip:
Phone:( )
Contact E-mail:

INSTRUMENT
Please select the instrument your child will be needing from the list below. Students for stringed instruments need to have a size specified before submission.
Open Hole Flute
Closed Hole Flute
Plastic Clarinet
Wood Clarinet
Alto Saxophone
Soprano Saxophone
Tenor Saxophone
Cornet
Trumpet
Trombone
Nylon Guitar
Percussion Kit/Bell
Percussion Kit/Snare
Percussion Kit/Bell & Snare
Violin (size)
Viola (size)
Cello (size)
Bass (size)
Need a care kit for an instrument you already have? Select one from below:
When getting an instrument under the Rental-Purchase Plan, a care kit for your instrument is included FREE!!
Care Kits: