Instrument Repair Pickup Request

Instrument Repair Pickup Request

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IT IS AGREED:

Authorization:
By submitting this form, I authorize Music Showcase to pick up the instrument listed below for evaluation and repair. I understand that repair charges may apply if the repairs needed are not covered under the maintenance plan.

Parent/Guardian Information

Student Information

Instrument Information

Is this instrument currently being rented from Music Showcase?
Do you have a Maintenance/Protection Plan on the rental instrument?

Repair Details

A representative from the store will contact you to arrange the instrument pickup.

Confirmation