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Kagan & Gaines Rental Application
Please fill out the information below to request your month-by-month rental. We'll send a link to complete the rental contract when the instrument is ready to go!
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Name (First & Last)
*
Your answer
Student Name (If Different)
Your answer
Contact Email Address
*
Your answer
Home Address
*
Your answer
Phone number
*
Your answer
Drivers License Number
*
Your answer
School / Private Instructor
(Please include town name with school. ex: Lincoln Elementary - Eagleton)
*
Your answer
Instrument Requested
*
Violin Outfit ($29.95/month)
Viola Outfit ($29.95/month)
Cello Outfit ($39.95/month)
Upright Bass Outfit
Other:
Instrument Size (Orchestral Only)
4/4
3/4
1/2
1/4
1/8
1/10
1/16
1/32
16" (Viola)
15 1/2" (Viola)
15" (Viola)
14" (Viola)
13" (Viola)
12" (Viola)
11" (Viola)
Other:
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Additional Notes
Your answer
Payment Start
Your payments will not start until the instrument is ready for pickup! We will send you a link at that time to fill out the rental contract and begin payments. Thank you!
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