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The Loft Violin Shop Accessories Order Form
1. Student and School Information (If appropriate)
Student's First Name
Student's Last Name
School District
*
Not for a school program
Other
Bexley
Boardman
Canterbury
Chillicothe
Columbus
Columbus Academy
CSG Columbus School for Girls
Delaware
Dublin
East Muskingum
Elyria
Ft. Wayne
Gahanna
Genoa Christian Academy
Grandview
Granville
Hilliard
Lexington
Marion
Miami Valley
Mt. Vernon
New Albany
Newark
Olentangy
Pickerington
Reynoldsburg
River Valley
Sidney
Southwest Licking
Southwestern (Grove City)
Unioto
Upper Arlington
Westerville
Wellington
West Virginia
Willard
Worthington
Worthington Christian
Zanesville
If school district is other:
School student is attending for orchestra class
Dublin Middle Schools
Karrer Middle School
Grizzell Middle School
Davis Middle School
Sells Middle School
Pick-up, Delivery, or Parcel Post?
*
Pick-up in Store
Deliver to School
Send via Post
Pick-up or Parcel Post?
*
🛈
Pick-up in Store
Send via Post
Please indicate Instrument
*
Violin
Viola
Cello
Bass
There will be an additional fee for shipping
Approximate cost for single items:
- Book $3.00
- Shoulder Rest $3.50
- Music Stand $5.00
2. Accessories
Not sure what your school requires or recommends? Check here.
Music Books
Essential Elements for Strings ($12.99)
Essential Elements for Strings Book 2 ($12.99)
Essential Elements for Strings Book 3 ($12.99)
New Directions ($9.95)
String Explorer Book 1 ($11.99)
Sound Innovations ($9.99)
Suzuki Book 1 without CD ($14.99)
Music Stands
Hamilton Standard Metal Music Stand ($16.00)
Peak SMS-10 Music Stand with bag ($30.00)
Other Accessories
Everest Shoulder Rest Violin / Small Viola ($15.00)
Everest Shoulder Rest Collapsible for 4/4 Violin ($23.00)
Everest Shoulder Rest Large Viola ($25.00)
Kun Shoulder Rest Violin / Small Viola ($30.00)
Kun Shoulder Rest Collapsible Violin/ Small Viola ($35.00)
Kun Shoulder Rest Large Viola ($35.00)
Kun Shoulder Rest Collapsible Large Viola ($40.00)
Sumi Shoulder Rest 4/4 Violin ($16.00)
Sumi Shoulder Rest Large Viola ($24.00)
Xeros Cello Strap ($18.00)
D'Addario Eclipse Clip-On Tuner ($15.00)
D'Addario Micro Tuner Violin/ Small Viola ($26.00)
D'Addario Micro Tuner Large Viola ($26.00)
What is considered a
SMALL
viola?
10" to 14"
What is considered a
LARGE
viola?
15" to 16-1/2"
If you are ordering a shoulder rest, please indicate instrument size.
Accessories Subtotal (before tax):
0.00
Calculate
Accessories Subtotal (including tax):
0.00
Calculate
Please describe other accessories or requests here:
3. Payer's Information
3. Shipping Information
Shipping Information
*
U.S. Shipping
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email
*
4. Credit Card Payment Information
Name on Card
*
Credit Card Type
*
Visa
MasterCard
Discover
American Express
Credit Card Number
*
Expiration Date (mm/yy)
*
Security Code
*
Additional Instructions: