John Keal Music Company Request to Return a Rental Instrument
Print out this form, place it in the instrument and leave it with your Band/Orchestra teacher at school. Our school representative will pick up the instrument on their next scheduled day*.
When you hit the submit button below, a copy of this form will be sent to our office to alert the sales representative that an instrument rental is waiting to be picked up at the school.

*Our office will email you with the next scheduled pick up date for your school. Pick ups are weekly/bi-weekly/monthly depending on your school.

Students Full Name *
Your answer
School District & Name (PLEASE no abbreviations) *
Your answer
Instrument *
Your answer
Parents Full Name *
Your answer
Best phone #(s) to reach you *
Your answer
Email Address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Additional Notes (optional)
Your answer
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