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Band Rental Request
Help us give you PRIORITY SERVICE by filling out this form to reserve a band instrument
rental for the 2011-2012 school year.
You will need to
sign one of our paper rental contracts when you pick up your instrument.
Parent/Guardian First & Last Name:
Billing Address:
City/State/ZIP:
Home A/C-Tel#: (We must have at least 1
phone number.) Cellular Number:
E-Mail Address:
What school is the student attending? (Must be in Lee
County FL) What Instrument?:
Flute
Clarinet
Trumpet
Violin
Viola
Trombone
Snare Drum
Percussion Kit
Alto Saxaphone
Oboe
Wood Clarinet
Piccolo
Cello
Baritone Horn
Tenor Sax
Condition Preference: (Orders will be filled based
on availabilty)
New
Value
Bargain
Not Sure
REVIEW PRICES
After you submit your information, one of our representatives will
be in contact you very soon. If you need further assistance, please
call the store in Fort Myers at (239) 561-5611.
Web Design & Management:
Thanks for making music with us!
İMr. Music, Inc., Fort
Myers, FL - All Rights Reserved. We've been
proudly serving Lee County since 1971.
