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Rent Date
  09/12/2023
This is contract NOT A Rent-To-Own contract. To continue a lower cost rent only plan check the box and go to the next step.
  I understand this is NOT a Rent-To-Own contract. No portion of the rental payment(s) will apply to the purchase of any instrument.
Size options
  I want to choose size later. (Bring your child or ask your child's teacher)
Rental Agreement
  I agree to the Instrument Rental Agreement.
Auto Payment Authorization
  I authorize Centreville Music Shop to charge recurring monthly payments without any discount after the paid term is over until the instrument is returned or paid off with the SAME CARD or the CHECKING ACCOUNT THAT WILL BE USED TO PROCESS THIS ORDER or with a newly updated card/checking account in the future. I will update the payment information as soon as any information is changed by phone, in person or electronically.
Non Refundable Long Term Payment Plans.
  I agree that long term payment plans are not refundable on any circumstances including school closures. (Exception : Military deployment with a proof)
Non proration Month-to-Month plan
  I acknowledge my monthly billing date will be the same as contract date each month and NO PRORATION shall be made for rental payments based on the day of return.
Sizing
  I understand 2 hour processing time will be needed and no notification will be provided by the shop. I will bring my child when I pick up the instrument for measuring size or consult with a teacher and contact Centreville Music Shop. I understand that shop will help me after other customers in the shop who are renting on site.
Verification
  I will bring my driver’s license for verification.
Print Legal Name
  Kimberly Delgado-Bjornell

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