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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
Genoa Christian Academy
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
5th Grade Program
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.
Which school will the student attend for strings class?
*
Karrer Middle School
Davis Middle School
Eversole Run Middle School
Sells Middle School
Grizzell Middle School
Pick-up, Delivery, or Parcel Post?
*
🛈
Pick-up in Store
Deliver to School (Immediately)
Send via Post
FALL 2023 School Delivery
Pick-up, Delivery, or Parcel Post?
*
🛈
Pick-up in Store
Deliver to School (ASAP)
Send via Post
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 Canterbury 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
Pick-up or Parcel Post or Fall 2023 Delivery
*
🛈
Pick-up in Store
Send via Post
Fall 2023 Delivery
*If you chose "Fall Delivery," please insure the school listed is the school the student will be attending in the Fall.
**Please also note that your card may be charged
up to two weeks
before your district's Fall delivery date in order to ensure all card numbers are correct and all instruments are aptly prepared.
Please check with your orchestra teacher for the next scheduled visit.
One time shipping charge for violin or viola:
$25-$50 (location dependant)
***Due to risk of damage and high cost, shipping is not available for cellos nor basses***
If you choose "Pick up in Store", your instrument is ready to pick up any time at your convenience. Your card will not be charged until you pick up the instrument.
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 ($9.99)
Essential Elements for Strings bk 1 ($12.99)
New Directions bk 1($9.95)
Suzuki Book 1 without CD ($9.99)
Music Stands
🛈
Peak Deluxe Stand & Bag (30.00)
Hamilton Standard Music Stand & Bag ($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 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)
Worthington Christian Package ($28.99)
Canterbury Package ($28.99)
** 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.
**Violas 15" and larger are considered "large violas." Violas 14" and smaller will use the corresponding violin sized shoulder rest (14" = 4/4, 13" = 3/4, 12" = 1/2, 11" = 1/4).
** The Worthington Chrisitian Package includes
Essential Elements
Book 1 and Hamilton music stand with bag
** The Canterbury 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
* The adult assuming financial responsibility is the renter. The renter must be at least 21 years old *
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 it is
prepared for school delivery.
Please note that for Fall delivery, your card may be charged up to 2 weeks prior to your district's delivery date in order to aptly prepare all instruments and confirm credit card numbers. At this time, the information below is
ONLY
for reserving your 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