Home Phone ( )
Work Phone ( )
Phone ( )
Have you filed for bankruptcy during the last seven years?
Check one. € Yes € No
Are there currently any suits or judgments against you?
Check one € Yes € No
1 / Month Rental
2 / Tax on
3 / C.M.P.
4 / Burglary / Theft
Total INITIAL Rental charge
1st 2 months rent + tax + CMP +
Rancho Canyon Music
Rancho Santa Margarita, CA 92688
Band Rental Agreement
Minimum Rental Period is 2 (two) Months
Cash Value $
Last 4 digits of
Social Security #
Visa / MC / AmX Card #
I authorize Rancho Canyon Music to prepare and submit credit card charge slips using any of the charge cards
listed on this agreement to recover all charges that are due for this rental account.
The following agreement refers to the Merchandise named above and is based upon the following terms and figures:
TO RENT THE ABOVE MERCHANDISE: Renter (includes all co-renters) agrees to make an Initial Payment in the amount listed in
the center box above, which pays for the use of the Merchandise for the Minimum Rental Period.
MINIMUM RENTAL PERIOD: If the Renter returns the Merchandise before the expiration period of the Minimum Rental Period,
Renter is not entitled to any refund of the Initial Payment.
AFTER EXPIRATION OF MINIMUM RENTAL PAYMENT PERIOD: Following the Initial Rental Period, Renter may continue to
rent Merchandise on a month-to-month basis for an indefinite peri