Lease Application English

Customer Information
Name*
First Name Last Name
Spouse's Name (If Applicable)
Spouse's First Name (If Applicable) Spouse's Last Name (If Applicable)
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Student Information
Name
First Last
Student Address
(If different from Parent or Guardian listed above)

Street Address Address Line 2 City State ZIP Code
Student Grade*
Student School*
Student Teacher*
Employment
Occupation*
Employer*
Date of Employment
Employer's Phone*
Lease Options
First and last months down begins your lease, INTEREST FREE!
Rental Fees will be taken out on the 9th of each month.
An employee of Mega Music will be contacting you to finish the process and to make pick up/drop off arrangements!
Lease Instruments $20.00 a month + $5.00 Maintenance & Tax
Lease Instruments $35.00 a month + $6.00 Maintenance & Tax
Lease Instruments $45.00 a month + $6.00 Maintenance & Tax
Please complete this form and we will contact you directly to confirm availability and your payment information.
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Customer Information