String Lease Agreement

Parent/Guardian Name Student Name



School District
School Building
Grade
Email Address
Instrument

Instrument Choice

(choose one)

Violin
1/4 1/2 3/4
Viola
11" 12" 13" 14 "
Cello
1/4 1/2 3/4

Violin
4/4 *
Viola
15 " 16 " *
Cello
4/4 *

Midstate Protection plan is $14 for fractional Violin and Viola,
$18 for All Cellos and Full Violins and Violas.


* 4/4 Violin, 15"-16" Viola and 4/4 Cello are all full-sized instruments


Payment
Lease Payment*
*Includes MIDSTATE Protection Plan $14 or $18
Sales Tax (8%)
Total

I understand and agree to all of the terms and conditions of this contract.

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