Texas Rental Contract Please fill in the form below to complete your rental contract with Guarneri House!! Thank You! Date(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent's Name(Required) First Last Suffix Student's Name(Required) First Last Suffix Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Driver's License #(Required)School(Required)Sugar Land Middle SchoolRonald Thornton Middle SchoolFort SettlementOtherInstrument(Required)ViolinViolaCelloDouble BassContract Start Time(Required)Beginning of school yearShip to me *VIOLIN AND VIOLA ONLY*Instrument Size(Required)1/81/41/23/4Please select appropriate sizeInstrument Size(Required)11"12"13"14"15"15.5"16"Please select appropriate sizeInstrument Size(Required)1/81/41/23/44/4Please select appropriate sizeInstrument Size(Required)1/161/101/81/41/23/44/4Please select appropriate sizeViolin Rental Payment Options(Required)*New Renter 1st Time Yearly Payment Special - $125.00Monthly - $20.00Cello Rental Payment Options(Required)*New Renter 1st Time Yearly Payment Special - $300.00Monthly - $40.00Viola Rental Payment Options(Required)*New Renter 1st Time Yearly Payment Special - $125.00Monthly - $20.00Double Bass Rental Payment Options(Required)Annual - $750.00Monthly - $75.00Cello Accessories(Required) Rosin - FREE WITH RENTAL Polish Cloth Essential Elements Cello Book 1 Endpin Strap Travel Music Stand with Bag Additional accessories will need to be ordered on your own Select AllDouble Bass Accessories(Required) Pops Bass Rosin - FREE WITH RENTAL Polish Cloth Essential Elements Bass Book 1 Endpin Strap Travel Music Stand with Bag Additional accessories will need to be ordered on your own Select AllViola Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Essential Elements Viola Book 1 Travel Music Stand with Bag Additional accessories will need to be ordered on your own Select AllViolin Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Essential Elements Violin Book 1 Travel Music Stand with Bag Additional accessories will need to be ordered on your own Select AllDouble Bass Accessories(Required) Rosin - FREE WITH RENTAL Polish Cloth Endpin Strap Travel Music Stand Additional accessories will need to be ordered on your own Select AllViolin Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Travel Music Stand Additional accessories will need to be ordered on your own Select AllCello Accessories(Required) Rosin - FREE WITH RENTAL Polish Cloth Endpin Strap Travel Music Stand Additional accessories will need to be ordered on your own Select AllViola Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Travel Music Stand Additional accessories will need to be ordered on your own Select AllDouble Bass Accessories(Required) Rosin - FREE WITH RENTAL Polish Cloth Scale Skills Book Folding Music Stand Endpin Strap Additional accessories will need to be ordered on your own Select AllCello Accessories(Required) Rosin - FREE WITH RENTAL Polish Cloth Essential Elements Book 1 Folding Music Stand Endpin Strap Additional accessories will need to be ordered on your own Select AllViolin Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Essential Elements Book 1 Folding Music Stand Additional accessories will need to be ordered on your own Select AllViola Accessories(Required) Rosin - FREE WITH RENTAL Shoulder Rest- FREE WITH RENTAL Polish Cloth Essential Elements Book 1 Folding Music Stand Additional accessories will need to be ordered on your own Select AllSerial Numberif applicableHow would you like to pay?(Required) Paper Check Debit/Credit Paper Check Confirmation Code(Required)Enter the confirmation code of your payment via paper check to Guarneri House. If you do not have a code, call Guarneri House at (616) 451-4960. **IMPORTANT: This contract is not valid unless the correct confirmation code is entered from our team. Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name NOTE: Our office will contact you regarding payment and delivery of your instrument due to shipping limitations with the instrument(s) you chose.(Required) I understand Processing Fee $0.00 Shipping for Violin & Viola Subtotal $0.00 Total Contract Agreement(Required) I agree to the terms of the rental agreementRead the terms before agreeing.Click Here for Rental Agreement Terms
