3100 S. Fremont Ave Springfield, MO 65804 (417) 881-1373 www.springfield-music.com
SPRINGFIELD MUSIC
925 S. Rangeline Joplin, MO 64801 (417) 624-3157 www.williamson-music.com
WILLIAMSON MUSIC
Review the reverse side of this agreement for explanations of terms, conditions and definitions.
RENTAL AGREEMENT WITH PURCHASE AND RETURN OPTIONS
INSTRUMENT MAKE MODEL
CLASS NEW LIKE N EW USED
SERIAL #
Name of Financially Responsible Person Home Address Address where instrument is located if different than above Home Phone Employer Credit/Debit Card Number #1 Credit/Debit Card Number #2 Spouse Spouse Employer Student’s Name Name of Living Relative (not living with you) Third Reference
SECTION 1
City
Relationship to Student
Soc Security # State Zip
License # How long at this address?
Directions to location of instrument Parent/Guardian Email
How long have you worked there?
Work Phone Exp. Date Exp. Date CID Code CID Code
Cell Phone Charge Monthly? Charge Monthly?
DEBIT / CREDIT DEBIT / CREDIT Spouse License # Spouse Cell Phone
Yes / No Yes / No
Spouse Soc Security # Spouse Work Phone Student’s Grade Phone Phone School Attended Second Reference Fourth Reference
Music Teacher Phone Phone
Section 2
Monthly Rent: Sales Tax: Maintenance Coverage: Replacement Coverage: TOTAL MONTHLY PAYMENT: REPLACEMENT COST: Down Payment: Accessories: Books: Subtotal: Tax: Total:
PAYMENT METHOD CASH CHECK # ___________ BANK CARD #1 BANK CARD #2
Section 3
$ _________________ $ _________________ $ _________________ $ _________________
______________________________ Springfield Music, Inc hereby agrees to rent the undersigned customer the instrument mentioned above at the monthly rate determined in Section 2. I/We have read and agreed to the terms, conditions, definitions, rates, costs and prices as explained on both sides of this rental agreement.
2007-08-20 11:32:13
Renter Date
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$ $__________________ $ _________________ $ _________________ $ _________________ $ _________________ $ _________________
2007-08-20 11:32:13
______________________________
Renter
Date
_______
______________________________
Springfield Music, Inc
Date
_______
I understand that this is a rental contract, not “rent-toown”, and that only my first eighteen payments (twelve payments for percussion instruments) apply towards the retail price (i.e. Replacement Cost) of the instrument.
_______________________
$
ACH (attach check)
Renter
2007-08-20 11:32:13 _______
Date
_______________________
Renter
2007-08-20 11:32:13 _______
Date
I/We hereby authorize Springfield Music, Inc. to initiate debit entries to my/our Checking, Savings or Credit/Debit Card account at the depository financial institution per attached voided check or bank card number. This authorization is to remain in full force and effect until Springfield Music, Inc. has received balance of contract paid in full and/or merchandise is returned in good condition. Then authorization for direct payment will be terminated. Date _______________ Signed (Renter)_________________________________ Signed (Renter)______________________________ BANK CARD #1 BANK CARD #2 ACH DEBIT (circle one) Checking Account Savings Account (ATTACH VOIDED CHECK)
AUTHORIZATION AGREEMENT FOR MONTHLY DIRECT PAYMENTS
2007-08-20 11:32:13
I have read both pages of the contract and consent to a Credit Check by Springfield Music. CLICK HERE TO SUBMIT APPLICATION.
TERMS – CONDITIONS – DEFINITIONS
NOTICE TO RENTER: A) Do not sign the reverse side of this document before you read it in its entirety or if it contains any blank spaces. B) You are entitled to an exact copy of the paper you sign. Renter acknowledges receipt of a completely filled-in copy of this Rental Agreement. MONTHLY RENTAL: Renter agrees to rent this instrument on a month to month basis with return options at the end of each monthly rental period. You may rent this instrument as long as you wish if payments are kept current. For your convenience a rental payment book will be given to you showing the amount of each payment and the payment due date. RETURN OPTION: At the renter’s option the renter may cancel this agreement at the end of any monthly rental period without cause. Monthly rental is not pro-rated. Renter must return said instrument to Springfield Music, Inc (or one of its retail locations) without damage thereto, except for reasonable wear and tear, and all payments to date of return of instrument must be made. In the event of cancellation of this agreement in this manner, no refunds will be made. Expenses involved in returning the instrument are the responsibility of the renter. DO NOT RETURN TO ANYONE OTHER THAN SPRINGFIELD MUSIC, INC. BE SURE TO GET A DATED RECEIPT. If a rental instrument is returned and a new instrument is not purchased, all rental payments which have been paid to Springfield Music Inc will be treated strictly as rent paid for the use of the instrument. Rental money is available only for use by the individual account holder who has been renting the instrument and may not be transferred to or combined with any other rental account. 90-DAY CASH OPTION: If the renter wishes to purchase this instrument within 90 days from the original agreement date they may do so by paying the Replacement Cost, less 25% Discount, plus Sales Tax, less all base rent paid. PURCHASE OPTION OF STUDENT OR STEP-UP LEVEL INSTRUMENT: You may purchase a student or a step-up level instrument at any time. You can apply up to eighteen months of payments (twelve months for percussion instruments) towards the retail price of the instrument. Instrument purchased must be the same price or greater as the one you are renting and be of the same instrument type. Payment plans are available with approved credit. Rental payments beyond the eighteen month period (twelve months for percussion instruments) will be treated strictly as rent paid for the use of the instrument and will not increase the rental credit which may be applied toward the purchase price of an instrument. Rental credit can not be applied toward the purchase of guitars or guitar accessories, instrument repairs, music lessons or other products or services offered by Springfield Music Inc. PURCHASE OPTIONS ARE NOT AUTOMATIC: None of the above purchase options are automatic. Springfield Music, Inc will attempt to notify you as you approach the eighteenth month mark (twelve month mark for percussion). Please contact us when you wish to exercise any of the purchase options. Exact purchase prices and details of each purchase option will vary. We can help you choose the option that works best for you. Payment plan purchases may require a new contract. Cash purchases can be finalized by cash, check or credit card. REPAIR AND MAINTENANCE OPTION: While you are renting this instrument we will maintain it in good playing condition when you select this coverage. Coverage provides the following at no additional charge: pad and spring replacements, adjustments, joint repair or replacement, slide and valve work, mouthpiece removal, lubrication, bridge and soundpost adjustments or replacement, and tuning and labor on string replacements (strings are not covered). Excluded from coverage are: intentional acts and careless or negligent handling, finish, minor dents and scratches, strings, bows, reeds, straps, mouthpieces, drumheads, sticks and repair not done by Springfield Music, Inc. This coverage must be paid for monthly with your rental payment. Coverage will be suspended if payments are not kept current. Please notify Springfield Music if your instrument needs service. REPLACEMENT AGREEMENT OPTION: If this option is chosen, in the event of theft or fire verified by a notarized police report while renting this instrument, the instrument will be replaced with like condition merchandise at the time of loss or the agreement cancelled at Springfield Music’s discretion so long as payments are current. There is a replacement fee of $50 to replace the instrument. This agreement covers the instrument and case only and does not cover partial losses of expendable items such as bows, reeds, mouthpieces, straps, lubricants, mallets, sticks, etc. Should your instrument be destroyed by fire or stolen, you must provide our accounting department a notarized police report within 14 days of the incident. This coverage must be paid for with your monthly rental payment. Coverage will be suspended if payments are not kept current. EXCHANGE OPTION: If the teacher and parent requests, the customer may exchange instruments. The monthly rental price will be adjusted, if necessary, to the current rental price and no refunds will be given nor rent prorated for partial months paid on the original instrument. Up to eighteen months (twelve months for percussion instruments) of prior rent will be applied toward any purchase option. AUTHORIZATION OF CHARGE CARD/ACH: The customer herein authorizes Springfield Music Inc to bill against their credit/debit card or checking account, listed on the reverse of this contract, if the account becomes more than 30 days past due. ZERO DOWN RENTAL: Some customers may have the option of not making a down payment (this option is at the discretion of Springfield Music Inc). The customer, should they be offered and accept this option, must sign up for automatic payments (either by credit card or ACH). The customer agrees to pay a $30 account management fee in the event they should decide to cancel the automatic payment. LATE PAYMENT: There will be a service charge of $5.00 per month on any rental payment that is delinquent by 5 days or more and renter agrees to pay this delinquency or late payment charge. RIGHT TO CONTACT: Customer gives Springfield Music, Inc the right to contact the customer at home, work and via email. Customer gives Springfield Music the right to email statements, notices, and special promotions. CHANGE OF ADDRESS: THE INSTRUMENT MUST BE USED AT THE SCHOOL AND ADDRESS STATED HEREIN. PRIOR WRITTEN CONSENT FROM SPRINGFIELD MUSIC, INC MUST BE OBTAINED IF THE INSTRUMENT IS TO BE USED AT A NEW ADDRESS OR SCHOOL DISTRICT. Failure to obtain prior written approval would be a breach of this contract and renter may be required to return the instrument or be liable for the entire replacement cost of this instrument which would become immediately due and payable. TITLE: Renter shall not sell, lease, assign, mortgage, pledge or encumber the merchandise listed in this contract. In the event renter shall voluntarily or involuntarily be involved in any bankruptcy proceeding, this rental contract shall immediately terminate and the merchandise described above shall be returned immediately. JURISDICTION: This contract is subject to the laws of the State of Missouri. In the event of litigation, you agree that jurisdiction will be in Greene County, Missouri, and that you will not contest jurisdiction. DEFAULT IN RENTAL PAYMENTS: Should renter fail or neglect to make any rental payment hereunder when due, Springfield Music, Inc may, at its option, request renter to return said musical instrument. Upon receipt of such request, renter shall have 7 days to return the instrument to Springfield Music, Inc at its place of business. Upon failure to so return, Springfield Music, Inc may, at its option, do one or more of the following: • With or without legal process take possession of said musical instrument wherever found, at school or elsewhere, with or without the knowledge of the renter, at any time the account becomes delinquent by 30 days. • Recover the amount of any past due rent, together with interest at the highest lawful rate, together with the cost of repairing, reconditioning, or preparing the musical instrument for re-rental and all costs of collection, including reasonable attorney’s fees. • Declare the entire replacement cost of the musical instrument immediately due and payable. • There will be a $50 collection fee assessed to your account for every repossession attempt made to pick up the instrument in the event you are in default of this agreement.
I have read both pages of the contract and consent to a Credit Check by Springfield Music. CLICK HERE TO SUBMIT APPLICATION.