Lease Violin
Payment Today: 22.99 Including Maintenance!
Monthly Payment: $22.99 Including Maintenance!


Delivery Options

Delivery Notes:

When will the student receive his/her first lesson?


Total Less Tax:

Contract Information: Highlighted Fields are Required

Instrument Size: (call or speak with instructor if unsure)

Guarantor 1 (Parent 1):

Phone 1:

Guarantor 2 (Parent 2):

Phone 2:




Zip Code:


School District:

School Name:

Employer (Guarantor 1):

Employer 1 Phone:

Employer (Guarantor 2):

Employer 2 Phone:

Nearest Relative (Not living with you):

Relative Phone:

Student Name:

Rental Notes

Billing Information


Instrument: Lease Monthly Violin
TOTAL (before tax) with FREE Delivery!

Click here to print a copy of this agreement for your records

For Lease (Orchestra) Instruments:

This instrument is the property of Ray's Midbell Music and is not for sale.

The INITIAL payment will be deducted from your account within 3 business days.


For your convenience, your first RENEWAL payment will be automatically processed 30-45 days from today.

Subsequent monthly payments will be automatically processed the same day of the month as your first RENEWAL payment.

When you Submit this form, your information will be sent to a key member of our staff, who will ensure that you get a good quality instrument, the correct accessories and the correct book for your school. If at any time you have questions about processing or the items you will receive, you can give us a call or email and talk to a live person during regular business hours. We can handle special requests and changes before your card is processed.