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Rent Date
03/28/2022
Size options
1/2
Rental Agreement
I agree with 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 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
K k
Order
Product
Qty
Unit Price
Price
Cello Monthly Rental
1
$44.00
$44.00
Cello Monthly Insurance
Rental Plan: Month to Month with Insurance
1
$6.00
$6.00
Sub Total
$50.00
Total
$50.00
Oops! You don’t have permission to edit this entry.
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.
I agree with the Instrument Rental Agreement.
