The Loft Violin Shop Accessory Order Form

1. Student and School Information (if applicable)

Dublin Middle Schools
Pick-up, Delivery, or Parcel Post? *
Pick-up or Parcel Post? * 🛈
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

Music Books
Music Stands
Other Accessories
What is considered a SMALL viola?
10" to 14"
What is considered a LARGE viola?
15" to 16-1/2"
Accessories Subtotal (before tax):
Accessories Subtotal (including tax):

3. Payer's Information

3. Shipping Information

Shipping Information *

4. Credit Card Payment Information

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