| Martocchio Music SCHOOL INSTRUMENT RENTAL PROGRAM Phone (860) 676-0085 Fax (860)676-0886 Riverdale Farms 136 Simsbury Rd. Avon, CT 06001 4 1/2 MONTH TRIAL RENTAL PERIOD *September and October Rentals Flute, Clarinet, Trumpet, Trombone, Alto Sax, Oboe, Piccolo, Cello Tenor Sax, French Horn Drum Kit, Bell Kit, Violin, Viola Baritone Horn 1/4, 1/2 & 3/4 Bass *Initial 41/2 Months: $29.95 $69.95 $119.95 Tax: $1.80 $4.20 $7.20 Total Rental Fee: $31.75 $74.15 $127.15 Optional Liability, Damage Waiver(LDW) $5.88 $7.42 $10.60 TOTAL $37.63 $81.57 $137.75 COST FOR EACH ADDITIONAL MONTH AFTER TRIAL PERIOD 1 Month Rental: $29.95 $49.95 $59.95 Tax: $1.80 $3.00 $74.15 Optional LDW Coverage $5.88 $7.42 $10.60 TOTAL $37.63 $60.37 $74.15 SERVICES AND FEATURES ♫ All rental fees (excluding tax and LDW) apply to ownership. ♫ 30% discount off the unpaid balance during the school year rental period. ♫ You may return your instrument at any time to cancel this contract. ♫ All instruments are new or near new Yamaha band instruments. ♫ Free use of loaner instruments during repairs is covered under LDW. ♫ Invoices will be sent to your home prior to the due date. STORE HOURS Mon., Tues., Wed., Thurs., Fri. 10 am to 6 pm Saturday 8 am to 2 pm Sunday closed SEPTEMBER HOURS ONLY Mon., Tues., Wed., Fri. 10 am to 6 pm Thursday 10 am to 8 pm Saturday 8 am to 3 pm Sunday 12 Noon to 3 pm |



Office Use Instrument _______________________ Make__________________Serial #____________ Date Rented___________ Price____________ Rental Form Parent or Guardian________________________________________ HomeTel_____________________ Address_____________________________________Town________________State_____Zip__________ Student Name_______________________________________Instrument_______________________________ Mastercard/Visa #(Required)___________________________________Ex. Date__________ Drivers Licence #(Required) ___________________________________ Type initials here:______ for future payments automatically billed to your card. Signature______________________________ New RR New RR New RR __Flute $795 $625 __Alto Sax $1740 $1355 __Trombone $980 $745 __Clarinet $825 $645 __Ten. Sax $2180 $1740 __French Hn $2415 $1995 __Oboe $1960 $1545 __Sop. Sax $1945 $1425 __Violin $795 $630 __Cello $1640 $995 __DrumKit $405 $295 __ Viola $880 $725 |