Page Title

I= NSTRUMENT RENTAL AGREEMENT

*All terms described are guaranteed in this agreement. = There are NO REFUNDS on rents paid. Rental fees are due in advance.&n= bsp; Instrument rental is by the month and rents are due on the 1st o= f every month, no invoices will be sent. If rent fees are over 10 day= s late, a $5.00 per month late fee will apply. Renter must notify Ari= zona Music Pro of any address, phone number, credit card or employment chan= ges. Renter may return the rented instrument at any time to Arizona M= usic Pro and this agreement will terminate provided all rental fees are pai= d current at the time of safe return. DO NOT RETURN THE INSTRUMENT TO= THE SCHOOL. Renter will be fully responsible for the &nbs= p; instrument and its safe return to Arizona Music Pro (AMP).

*MAINTENANCE / THEF= T COVERAGE ____YES ____NO I= NITIAL_______

Covers all parts and repair costs associated with normal maintenanc= e or adjustments. Does not cover misuse or improper care of instrumen= t, reeds or strings. Repairs for

misuse or improper care of instrument will be paid for by Renter.&n= bsp; In the case of theft, renter must report the incident within 48 hours = to law enforcement authorities and provide a copy of the bona fide police r= eport (with valid report number) to AMP within (15) fifteen days of inciden= t. Police report must include brand and serial number of stolen

instrument with Arizona Music Pro listed as owner of stolen rental = property. There is NO coverage in the case of "Careless Misplacement&q= uot; or "loss" of instrument. Renter will be responsible to= AMP for the replacement value of the instrument rented. Instrument c= overage is void if a rental account is over 10 days late.

*If this account be= comes more than 10 days past due or the instrument is returned with a balan= ce owed on the account, RENTER authorizes Arizona Music Pro to charge to th= e RENTER'S credit card account listed on rental agreement the total balance= of rent and late charges due. If this account becomes more than 45 d= ays past due it will considered in default and may be turned in for collect= ions and/or repossession. AMP shall be entitled to all late fees, col= lection fees, attorney fees and repossession fees. In addition, AMP m= ay construe it as an unlawful failure to return rented property and may pro= secute under Arizona Revised Statutes #13-1802 and/or ARS #13-1806.<= /p>

*Purchase Credit: A= t any time during the term of this Rental Agreement or at the end of said t= erm, and provided that Renter has timely fulfilled all obligations to AMP u= nder this agreement, Renter will receive credit toward a "Qualified Pu= rchase" as hereinafter defined equal to the total rental fees paid on = time hereunder, less amounts for sales tax and insurance. Credits wil= l not apply to the rentals of Guitars, Drums, Bells or Keyboards.

A Qualified Purchase is defined as follows:

Purchase of a new instrument of the same t= ype rented of equal or greater value, as determined by AMP. Instrument sele= ction will be a choice by renter from AMP's product line inventory, with se= lling price to be determined by the current manufactures suggested retail p= rice. CREDITS ARE NOT TRANSFERABLE, Credits from more tha= n one rental agreement may not be combined to a single purchase. Credits ma= y not be applied towards Layaways this credit towards a Qualified Purchase = does not give the Renter an ownership interest in the instrument rented, bu= t rather is a separate contractual right granted by AMP, and must be exerci= sed strictly according to the terms of this agreement. In the event of defa= ult by renter in fulfilling the terms of this Agreement, this right automat= ically terminates.

*The information se= t forth above is true and correct. I authorize Arizona Music Pro to obtain = whatever credit information they determine to be necessary, including the r= unning of a credit report and verification of employment if necessary. I&nb= sp; have read this agreement in its entirety and agree to be bound by its&n= bsp; terms & conditions.

X______________________________________________________________&nb= sp; Date________________________

Signature

DRIVER’S LIC= ENSE INFORMATION

(Responsible Party)=

Full Name &= nbsp; &nb= sp; = &n= bsp; &nbs= p; = &nb= sp; = ;

Street Address &nb= sp; = ; &= nbsp; &nbs= p; = &n= bsp; &nbs= p;

City &= nbsp; &nb= sp; = ; State &n= bsp; = ; Zip &nbs= p; &= nbsp;

SS#= ;___________________= _________________________________________

DL# &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; <= /span>State Issued &n= bsp;

DOB &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; &nb= sp; = ; =

CREDIT CARD INFORM= ATION

(Name must match Dr= ivers License)

( = ) Visa &n= bsp; &nbs= p; = &nb= sp; ( ) American Express

( = ) Master Card &= nbsp; &nb= sp; = ( ) Discover

CC#_________________________________________________________= ____

Exp. Date_______________________ CVV Code___________________= _____

Name _________________________________________________________= __(= as it appears on card)

______________________________= _________________________________

(Sign here to Authorize Automatic Charge of Monthly Renta= l fees to Credit Card)

CONTACT INFORMATIO= N

e-mail Address &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; &nb= sp; = ; &n= bsp; _______________________________________________________________<= /span>

&= nbsp; &nbs= p; &= nbsp;

Mailing Address &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; &nb= sp; Unit# = <= /span>City &nb= sp; = &n= bsp; <= /span>State &n= bsp; Zip &nbs= p; &= nbsp;

(If different from above)

Home Phone ( = ; ) = ; &= nbsp; &nb= sp; = &n= bsp; &nbs= p; Cell or Message Phone ( &n= bsp; ) &nb= sp; = ; &= nbsp; &nbs= p; = &n= bsp;

Renter’s Employer = &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; Work Phone ( &n= bsp; ) &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; &nb= sp;

Spouse’s Name &nbs= p; = &n= bsp; = ; &= nbsp; &nb= sp; = ; = Spouse’s Employer ___________________ &= nbsp; &nb= sp; = &n= bsp; &nbs= p;

Reference &= nbsp; &nb= sp; = &n= bsp; &nbs= p; = &nb= sp; _________ Reference Phone ( _____) &n= bsp; &nbs= p; = &n= bsp; = ; &= nbsp; _________

= Please print clearly and fill in all fields.

Student Name = ; &= nbsp; &nb= sp; = &n= bsp; <= /span>School &n= bsp; &nbs= p; = &nb= sp; <= /span>Grade &n= bsp; Instrument &nbs= p; = &n= bsp; ___&= nbsp;

Arizona Music Pro * 122 East Route 66= * Flagstaff, AZ * &nb= sp; 86001 * (928) 556-9054 &= nbsp; * www.azmusicpro.com &= nbsp; * staff@azmusicpro.com

RENT = $____________________

TAX &= nbsp; $____________________

INS. &= nbsp; $____________________

TOTAL = $____________________