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The Loft Violin Shop Rental Application
Choose Your Instrument
Instrument
*
Violin
Viola
Cello
Bass
Violin Size
*
4/4
3/4
1/2
1/4
1/8
1/10
1/16
1/32
Not sure - will come in and be measured
Initial Payment $40.00
Violin (First and Last Month's Rent)
Viola Size
*
16 1/2"
16"
15 1/2"
15"
14" (Intermediate)
13" (Junior)
12"
11"
10"
Not sure - will come in and be measured
Initial Payment $40.00
Viola small (First and Last Month's Rent)
Initial Payment $60.00
Viola large (First and Last Month's Rent)
Cello Size
*
4/4
3/4
1/2
1/4
1/8
1/10
Not sure - will come in and be measured
Initial Payment $80.00
Cello (First and Last Month's Rent)
Bass Size
*
3/4
1/2
1/4
1/8
Not sure - will come in and be measured
Initial Payment $100.00
Bass (First and Last Month's Rent)
For help determining the correct instrument size, visit our
helpful online guide.
Student and School Information
Student's First Name
*
Student's Last Name
*
School District
*
Big Walnut
Bexley
Boardman
Canterbury
Chillicothe
Columbus
Columbus Academy
CSG Columbus School for Girls
Delaware
Delaware Christian
Dublin
East Muskingum
Elyria
Gahanna
Grandview
Granville
Hilliard
Lakewood
Lexington
Marion
Miami Valley
Mt. Vernon
New Albany
Newark
Olentangy
Pickerington
Reynoldsburg
River Valley
Sidney
Southwestern (Grove City)
Southwest Licking (Watkins)
Unioto
Upper Arlington
Westerville
Wellington
West Virginia
Willard
Worthington
Worthington Christian
Zanesville
Other
Not for a school program
If school district is other:
Which SCHOOL does your child attend?
Dublin Middle Schools
*
Karrer Middle School
Grizzell Middle School
Davis Middle School
Sells Middle School
Eversole Run Middle School
Reynoldsburg schools pick up in the store. You will get an email from your teacher to remind you to pick up your new instrument before school starts.
Pick-up, Delivery, or Parcel Post?
*
🛈
Pick-up in Store
Deliver to School
Send via Post
Pick-up, Post, or 2021 FALL School Delivery
*
Pick-Up in Store
Send Via Post
FALL 2021 School Delivery
Delivery ASAP vs Fall 2021
*
Deliver to school ASAP
Deliver to school Fall 2021
Please check with your orchestra teacher for the next scheduled visit.
If you chose "Fall Delivery," please insure the school listed is the school the student will be attending in the Fall.
Pick-up or Parcel Post?
*
🛈
Pick-up in Store
Send via Post
Pick up at Boardman Delivery
Pick-up or Parcel Post?
*
🛈
Pick-up in Store
Send via Post
Pick up at WV Symphony Office
Pick-up or Parcel Post?
*
🛈
Pick-up in Store
Send via Post
One time shipping charge for violin or viola:
$25-$50
One time shipping charge for cello: Approximately
$95-$135
We will contact you with the exact amount for cello before shipping.
If you choose "Pick up in Store", your instrument is ready to pick up any time at your convenience
Click Here to see a map of the esimated shipping zones and costs
Accessories
Not sure what your school recommends or requires? Check here.
Music Books
🛈
String Explorer bk 1 ($9.95)
Sound Innovations bk 1 ($8.99)
Essential Elements for Strings bk 1 ($10.99)
New Directions bk 1($8.95)
Suzuki Book 1 with CD ($19.99)
Suzuki Book 1 without CD ($8.99)
Music Stands
🛈
Peak Deluxe Stand & Bag (25.00)
Hamilton Standard Metal Music Stand ($16.00)
Optional 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 Large Viola ($40.00)
Worthington Christian Package ($27.00)
Xeros Cello Strap ($18.00)
** Your new rental outfit
includes a rosin, cleaning cloth,
foam shoulder
rest for violin and viola, and slip stop for cello and
bass at no additional charge.
** The Worthington Chrisitian Package includes
Essential Elements
Book 1 and Hamilton music stand with bag
Accessories Subtotal (before tax):
0.00
Calculate
Accessories Subtotal (including tax):
0.00
Calculate
Adult Renter Information
** Person assuming financial responsibilty is the renter **
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
*
Renter's Employment Information
Business / Employer's 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
*
Spouse's Employment Information
Spouse's First Name
Spouse's Last Name
Spouse's Business / Employer's 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
Payment Information
Your credit card will
NOT
be charged until you pick
your new rental up at
The Loft Violin Shop or
prepared for school delivery.
This information is for
reserving the instrument.
Name on Card
*
Credit Card Type
*
Visa
MasterCard
Discover
American Express
Credit Card Number
*
Expiration Date (mm/yy)
*
Security Code
*
Drivers License
*
Date of Birth
*
🛈
By providing your credit card information, your new rental account will be set-up as an autopay. Your monthly payments will be charged one month after the delivery or pick-up date.
Violin monthly rent $21.50 (including tax)
Viola (small) monthly rent $21.50 (including tax)
Viola (large) monthly rent $32.25 (including tax)
Cello monthly rent $43.00 (including tax)
Bass monthly rent $53.75 (including tax)
If you have any questions regarding payment, please email us at
violins@theloftviolinshop.com
Rental Agreement
Sign here:
*
🛈
Special Instructions