NYC Contract | Amadeus Strings | 105 Wennington Drive Poughkeepsie, NY 12603

Student's First Name*

Student's Last Name*

School*

Violin Size

Viola Size

Cello Size

Shoulder Rest

Primary Contact First Name*

Primary Contact Last Name*

Alternate Contact First Name

Alternate Contact Last Name

Country*

Address Line 1*

Address Line 2

City*

State or Province*

ZIP or Postal Code*

Primary phone*

Alternate phone

Email*

9-Digit License number and issuing state*

Leave us a note

I agree to the rental terms and conditions outlined below. I agree to give a timely update Amadeus Strings whenever contact, instrument, or payment information changes*

I authorize Amadeus Strings to charge the initial payment consisting 12 month's rental fee plus selected shoulder rest and $30 shipping fee to the card provided upon receipt of this contract form.*

Electronic Signature*