Oops! You don’t have permission to edit this entry.
Rent Date
10/11/2021
Size options
4/4
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 pre-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.
Verification
I will bring my driver’s license for verification.
Print Legal Name
Wendy King
Brand Name
VC405
Serial Number
2442244
Size
4/4
Instrument Condition
New
Specific Condition (other than normal wear and tear):
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.