Violin Hire Application Form - Violin Sports

RENTAL AGREEMENT ~ DATED: _____/_____/_____ By completing the applicable details of Schedule One and signing this Agreement the Hirer agrees to hire from Violin Sports (the ”Owner”) a violin as stated in Schedule One (the “Musical Instrument”) and agrees to abide by the ‘terms and conditions’ as specified below and as otherwise contained in this Agreement by the Owner (which shall be at their discretion), the Hirer will become bound by such terms and conditions.

SCHEDULE ONE ~ TO BE COMPLETED BY THE HIRER Student’s Surname: ________________________________ Student’s Given name: _____________________________ Violin Lesson held at: ______________________________ Violin Teacher: _____________________ Lesson Day:____ Violin size : __________

Please ask your violin teacher what size violin you require before sending in form. Please note: it is preferred that the violin is given on week three of lessons because this allows time for preliminary tuition on posture, technique and violin care.

Minimum Hire : is 10 weeks. Hire commences the day you (the hirer) receive the violin. COSTS: 10 weeks violin hire $42.90 **Bond $50.00 Delivery to your home (optional—Ph to arrange) $10.00 Credit card fee of 1.57% + gst of total payable (ie $92.90 would be $1.60) Payment can only be made by credit card. I understand and agree that AUTOMATIC DEDUCTIONS of $43.64 (ie.$42.90 + 0.74c credit card fee) = $43.64 will be deducted from my credit card every 10 weeks in advance as hire period falls due. Please debit my Bank Card

Master Card

Visa

for the

amount of $__________ (initial payment of bond, hire and delivery if required) And $43.64 as payment falls due. Card No:

GENERAL TERMS AND CONDITIONS BY WHICH THE HIRER AGREES TO BE BOUND 1.The term hire charge (as above) shall be paid in advance with the first payment being due on the commencement of the Hire Period and thereafter payable every 10 weeks during the Hire Period. Deductions will be automatically debited to my credit card as payments fall due. The bond shall also be payable with the first hire charge payment. 2. (a) The ‘Hirer’ shall be responsible for any loss or destruction of the Instrument or damage to the Instrument however caused and all costs associated with its replacement in the case of loss or destruction or for the repair of any damage (including the cost or replacement in any case where the Owner considers that it cannot be satisfactorily repaired) shall be borne by the Hirer; the Hirer shall notify the Owner (ie. Violin Sports Office) of any such loss destruction or damage as soon as possible. 2.(b) The ‘Hirer’ shall at all times during the Hire Period keep the Instrument in good order and in substantive repair and except to the extent otherwise provided by this Agreement. **Bond: fully redeemable upon instrument returned by ’Hirer’ to ‘Owner’ in a good condition as deemed by ‘Owner’. 3. The instrument is only available for hire to the ‘Hirer’ if they are currently enrolled and having lessons with Violin Sports. The instrument must be returned within two weeks of lessons ceasing.

Authority and Declaration I acknowledge that the Privacy Act 1998 allows Violin Sports to give a credit report agency certain personal information contained in this application or acquired by Violin Sports about the conduct of my account or hiring arrangements with it, being information which a credit reporting agency is permitted to include in an individual’s credit information file and the giving of which I have authorized, I now hereby give Violin Sports authority to disclose such information to the full extent allowed and accept that it may proceed to do so without any further reference to me.

Violin Sports Violin Hire

123 Forrest Street North Perth 6006 Correspondence to: PO Box 161 North Perth 6906 Ph: 9328 8438 Fax: 9328 1764 Web: www.violinsports.com.au Email: [email protected] as at Tuesday, April 21, 2009

Violin Hire

I declare that the information provided by me in this application is true and correct and that prior to signing this application I have satisfied myself that I fully understand the effect of the various authorities and consents that I have given for the purposes of the Privacy Act as set out above. I have read the terms and conditions and understand and agree to these terms.

Expiry date:___/___ Cardholder signature: _____________________ Terms and Conditions: Manner of Payment of Hire Charge, Bond and Delivery Charge: The terms hire charge (as above) shall be paid in advance with the first payment being due on the commencement of the Hire Period and thereafter payable in advance every ten weeks for the duration of the Hire Period. Automatic deductions will be drawn from the Hirers Credit Card as payment falls due. The bond (redeemable as per clause 2b.) shall also be payable with the first hire charge payment. ACKNOWLEDGMENTS The Hirer acknowledges that: 1. The Hirer has read and understands the specific terms and conditions in the Schedules together with these acknowledgements and the general terms and conditions of this Agreement.

X................................................... Signed by the Hirer

............../............/............

Date

SCHEDULE TWO ~ FOR OFFICE USE ONLY MYOB invoice

MYOB order

MYOB card V

Instrument Serial Number: VS________

VH book

VH File

Size: ________

Hire Commencing : ____/____/____ (date violin received)

Card

Please allow at least one week from Violin Sports receiving completed hire form & payment, to your receiving violin. It is preferred that the violin be given on week three of lessons because this allows time for preliminary tuition on posture, technique and violin care.

“To reduce the financial burden of purchasing a violin and to easily move up in size as required (without having to sell then buy again) - Hiring a violin is a sensible option.”” Violin Hire Application I the undersigned hereby provide you with the following information by

Violin hire.

way of application in support of my offer to hire a violin. I understand that whether you accept or reject my application or offer is purely up to your discretion and if accepted any account or hire arrangement must be conducted in accordance with Violins Sports current terms and conditions.

PLEASE COMPLETE PAGES 2 to 5 - ONE FORM FOR EACH VIOLIN REQUIRED. PLEASE USE BLOCK LETTERS

Hirer’s Personal References:Name of relative/friend not living with you: ___________________________________________________ Relationship to you:___________________________________ Address:__________________________________________________ ______________________________Postcode______ Home telephone no:__________________________________

Violin hire:-

(hire available for Violin Sports students only)

Please have your child measured by your violin teacher. Put size on page 4. (Please note violin not required until about week 2 or 3). Sizes available are 1/16th, 10th, 1/8th, 1/4, 1/2, 3/4, 4/4 (full size). Please complete pages 2-5 and post to Violin

Hirer’s Personal Details (Persons over 18 yrs) :Mr

Mrs

Miss

Ms

please tick one

Surname: ___________________________________________

Sports. Please allow one week processing upon Violin Sports receiving this completed

Given Names: _______________________________________

form and payment. VIOLIN HIRE: $43.57(FOR A 10 WEEK PERIOD) (includes GST & credit card fee)

Occupation:_________________________________________ Name of Employer:____________________________________

Date of Birth: ________________________________________

Basis of Employment: Casual

Telephone (HOME): __________________________________

Permanent Part-time

Violin hire costs $4.36 per week, minimum hire period is 10 weeks and payment is requested 10 weeks in advance. Hire commences when violin is received by the hirer

Hirer’s Employment Details:-

Full time

please tick one

and remains with the hirer (includes school holidays etc.) You are able to move up in size as required.

A $50.00 bond applies (no GST payable on bond) - which

is fully

refundable upon the return of your instrument in good condition (as deemed by the ‘Owner’).

Telephone (WORK): __________________________________ Address:-

____________________________________Postcode_______

*Please note hire does not correspond to ‘Violin tuition Term Fee’ (includes

school holidays etc.) - payments will be automatically debited from your credit card as each new 10 weeks hire in advance falls due.

After the minimum of 10wks hire,

any unused hire already paid, (if violin is returned prior to end of that period) will be

No/ Street___________________________________________ Suburb _____________________________ Postcode_______

refunded together with any bond due.

Hirer’s Drivers License: (Photocopy required—please post

RECEIVING VIOLIN HIRE Delivery can be arranged to your home. Phone 9328 8438

together with this form.)

to arrange.

RETURNING VIOLIN HIRE Instrument must be returned within two weeks of lessons

_______________________________________________________________________

OFFICE USE ONLY: Sighted by_________________Signature:______________

Address of Employer: _________________________________________________

Drivers License No. ____________________ D.O.B.________ Exp Date________

___________________________________Postcode________

by your violin teacher to the lesson (this is not always possible - please check with your teacher).

Your Partner’s Occupation:

Name of Employer: ____________________________________________________

Alternatively you may collect the violin from the Violin Sports office.

Please phone 9328 8438 prior to collecting, or sometimes the violin may be delivered

Address of Employment: _______________________________

Partners Details:-

ceasing. Violin will be deemed returned when received by the violin sports office and you have signed back the violin.

A receipt will be given to you as proof of return.

VIOLIN MAY NOT BE GIVEN TO TEACHERS TO RETURN.

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Mr

Mrs

Miss

Ms

please tick one

Please turn over ...

Surname: ___________________________________________ Given Names: _______________________________________

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