Reserve a Rental for Pickup in Store

Please click “GO TO RESERVATION FORM” below to start. After you have submitted your reservation, you will receive a confirmation letting you know we’ve received your request. You will receive a second e-mail when the instrument and supplies are ready for pick up.

ATTENTION PARENTS: If you have information regarding the band or orchestra book your student’s class will be using this school year, we ask that you indicate the title of that book (and level) in the comments field. Although we try to get as much info as possible from the schools, sometimes there are delays in us getting that indication so your help will ensure the student has the proper supplies when class begins!

This is only a reservation. No charges will be made until the instrument is picked up.
Instrument reservations will be held for 7 business days. Please let us know if you need more time or if you need to cancel your reservation.
All instruments are available on a first come, first serve basis. We will contact you if the instrument you’ve requested is unavailable.
You MUST bring your driver’s license (or equivalent state ID) and a debit/credit card with you to present at pickup.
You will be asked to sign the rental agreement at the time of pickup.
Returning the instrument undamaged to our store ends the rental agreement. You may return the instrument at any time.
Information transmitted through this page is secured through Squarespace and only provided to Eastside Music staff members for rental purposes. Your information is never sold to third parties.
The level of information is required to secure the value of the instrument being loaned. Please contact us if you cannot provide certain information. 503-491-2270.

** If you don’t hear back within 2 business days, please check your SPAM folder and then call 503-491-2270**

CLICK HERE TO SIZE YOURSELF AT HOME FOR VIOLIN/VIOLA

Rental Reservation Form

PARENTS/GUARDIANS

Instrument

Which instrument are you renting?

Have you rented an instrument from us before?

Yes, I am currently renting or have previously rented from Eastside.

No, I have never rented from Eastside.

Parent #1

Parent or legal guardian of student

First Name

Last Name

Spouse (if any)

Spouse or second guardian living with child, if available

First Name

Last Name

Street Address

Must list the address where instrument will reside. PO boxes not accepted. (You may add a PO box in the comment section for mailing purposes only).

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Rent/Own Address

Do you rent or own your residence?

Rent

Own

Please double check to ensure your e-mail is spelled correctly before submitting! Any mistakes will prevent our e-mails from reaching you!

Phone/Mobile

(###)

###

####

Alternate Phone

(###)

###

####

Work Name

List work name here or other source of income

Work Phone

Daytime work only

(###)

###

####

STUDENT

Student's Name

First Name

Last Name

Grade

School

ADDITONAL REQUIRED INFORMATION

Secondary Contact

Alternative contact NOT living with student. (Example: family, friend, neighbor, etc.) Please choose someone who knows you well. We ask that your teacher's name not be used. We will ONLY reach out to your secondary contact as a final resort if we cannot establish a connection to you over an extended period of time. Our goal is to never reach this point. No personal account information will ever be shared with the secondary contact for any reason.

First Name

Last Name

Secondary Contact's Phone#

(###)

###

####

SUPPLIES

Please check boxes for the supplies you will need. The appropriate book and care kit selection will made by our staff based on instrument, grade and school information.

Check supplies you will need

Don't forget to get supplies for your instrument! Check none if you don't need any. For prices, click the Supply Price Guide link above the form.

Book

Care Kit

Music Stand

None

Comments

Please add any notes about your reservation here:

Agreement

By checking the following box, I agree that the information provided by me in this form is true. I consent to providing my information to Eastside Music for purposes of initiating a rental agreement. I understand that I will be provided an opportunity to read full rental agreement disclosures before providing my signature in person for contractual purposes. I understand that this online form in no way guarantees any particular course of action by Eastside Music and that Eastside Music reserves the right, at its sole discretion, to elect not to pursue a rental agreement with the parties listed in this form.

I Agree