Musical Instrument Rental/Purchase Request Form

    Your Name:             Phone Number: 

    Your School/Organization: 

    E-Mail Address: 

    Mailing Address: 

    1st Instrument Request:  Clarinet Bass Clarinet Alto Clarinet Concert A Clarinet Flute Alto Flute Piccolo Oboe Saxophone Alto Saxophone Tenor Saxophone Bari Saxophone Soprano Saxophone Trumpet Cornet Trombone Bass Trombone French Horn Double French Horn Single French Horn Baritone Percussion Snare Drum Kit Bell Kit Combination Kit 5 Piece Drum Set Guitar Acoustic Guitar Electric Guitar Bass Guitar Piano Keyboard PA System Violin* Viola* Cello Strim Bass   2nd Instrument Request:  Clarinet Bass Clarinet Alto Clarinet Concert A Clarinet Flute Alto Flute Piccolo Oboe Saxophone Alto Saxophone Tenor Saxophone Bari Saxophone Soprano Saxophone Trumpet Cornet Trombone Bass Trombone French Horn Double French Horn Single French Horn Baritone Percussion Snare Drum Kit Bell Kit Combination Kit 5 Piece Drum Set Guitar Acoustic Guitar Electric Guitar Bass Guitar Piano Keyboard PA System Violin* Viola* Cello Strim Bass   

      3rd Instrument Request:  Clarinet Bass Clarinet Alto Clarinet Concert A Clarinet Flute Alto Flute Piccolo Oboe Saxophone Alto Saxophone Tenor Saxophone Bari Saxophone Soprano Saxophone Trumpet Cornet Trombone Bass Trombone French Horn Double French Horn Single French Horn Baritone Percussion Snare Drum Kit Bell Kit Combination Kit 5 Piece Drum Set Guitar Acoustic Guitar Electric Guitar Bass Guitar Piano Keyboard PA System Violin* Viola* Cello Strim Bass  4th Instrument Request:  Clarinet Bass Clarinet Alto Clarinet Concert A Clarinet Flute Alto Flute Piccolo Oboe Saxophone Alto Saxophone Tenor Saxophone Bari Saxophone Soprano Saxophone Trumpet Cornet Trombone Bass Trombone French Horn Double French Horn Single French Horn Baritone Percussion Snare Drum Kit Bell Kit Combination Kit 5 Piece Drum Set Guitar Acoustic Guitar Electric Guitar Bass Guitar Piano Keyboard PA System Violin* Viola* Cello Strim Bass   

Nearest Store Location:  Bothell Bellevue Mill Creek Monroe Lynnwood Redmond Issaquah Burien Kent Mukilteo Poulsbo Yakima  

    Date Needed: 

    *String instruments require measurement of your child's arm length.  Please note here the length of your child's arm in inches from neck to palm of hand with arm outstretched:   

    A Mills Music Customer Service Representative will contact you with availability within 48 hours.  

Rentals require minimum rental period and established credit.

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