ContractRental Agreement With Option to Purchase • July 24th, 2017
Contract Type FiledJuly 24th, 2017RENTAL AGREEMENTWith Option To PurchasePlease read Terms and Conditions of this agreement. Customer Information Customer Name (First/Last) Date of Birth Social Security # TX Drivers License # Street Address City State Zip Mailing Address (If Different From Above) City State Zip Home Phone Work Phone Cell Phone Spouse Cell Phone Place of Employment Email Address Spouse Name Spouse Place of Employment Name of Nearest Relative Not Living With You Relation Phone Number Student Information Student Name Date of Birth Grade School School District Instrument Information New Like New Pre-Rented Monthly Rate $ Flute Clarinet Trumpet Cornet Violin Viola LDR (See Terms for Details)Sales Tax $$ Alto SaxTenor Sax TromboneBell Kit CelloBass Total Monthly Payment $ Other: Size: Purchased Items Hillje Music Centers, LLC hereby agrees to rent the undersigned customer the following instrument at the rate determined by the Total Monthly Payment to the right with the payment due on the of every month.