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Rental Application

First Name*

Last Name*

Cell Phone

Email*

Address *

City*

State*

Zip*

Rental Term*

Rental for who?*

Child(ren)'s Name/Grade:

School Name/District:

School Teacher/Private Teacher Name:

Music Institute:

Choose Instrument 1*

Choose Instrument 1 Size*

Choose Instrument 2

Choose Instrument 2 Size

Represent valid license or photo ID, and credit card at LAVS shop.*

We have a 3-month minimum rental period required. After the initial 3-month period, we will automatically charge you by either credit card.*

Pickup Location*

Pickup Date (within 7 days from today)*

Have you rented LAVS instrument before?

Previous Rental Contract#

Rentals

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