2026 Instrument Rental Form

Instrument Rental Form
Account Owner Details
Name of account owner (adult responsible for payment)

First NameLast Name
Address - if different than billing address (see below)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email - please enter twice

Confirmation Emailexample@example.com
Is your residential and billing address the same?
Please provide your residential address below:
Residential address line 1
Residential address line 2
Town
State
Zip code
Contract number
Start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Issue date (if different than start date)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Player Details
Player name

First NameLast Name
Instrument
Is the player an adult?
Instrument size (if known)
Instrument Number
Player height (in ft & in preferred)
For sizing purposes
Length of Arm in inches - from base of neck to center of palm (arm extended from shoulder)
If you indicated a size above, enter "NA" here
Grade
Strings Program
Please select your school program
Are you experience any financial hardship at this time that would make renting an instrument difficult?
You may not need to rent.

Many string programs have a limited supply of instruments for parents/students experiencing financial hardship. Before starting a rental, we recommend reaching out to your string teacher about your situation in case they may be able to assist you with an instrument.

If you do not have contact information for your teacher, please email us at info@beekmanviolin.com. We can help connect you and ensure that your child has an instrument to play.
IMPORTANT INFO FOR SOUTH KINGSTOWN ELEMENTARY RENTERS:

We have two instrument pick-up options for South Kingstown elementary renters:

1) To make an appointment during regular shop hours, follow the link on the thank you page after you've submitted your form. Regular shop hours are as follows:
- Wed-Fri 12-5:30pm
- Sat 10am-3pm
2) We are offering special extended hours for rental pick-ups only on the following days:
- Thursday 9/10/25 - 5:30-7pm
- Friday 9/11/25 - 5:30-7pm
Rental pick up options:
Please choose your preferred instrument pick up option:
To make an appointment during special extended hours, select an appointment from the calendar below. Select the date on the calendar, and then choose a time slot from the available options.
To make your instrument pick-up appointment during store hours, just follow the link to our booking site on the Thank You page after submitting this form.
Special Extended Hours Appointments
Please choose your instrument pick-up night appointment below:
Communications:
We will send automated billing reminders and other important updates about your account via email. Would you also like to receive notifications via text?
From time to time, we may send other communications. We promise to respect your inbox and will keep these to a minimum. You can select/deselect your preferences for these communications below:
Long-term indicator
Purchases and Payment information

PAYMENT WILL BE AUTHORIZED ONLY. Once instrument is issued payment will be processed. IMPORTANT- the BILLING ADDRESS must MATCH address on file with bank or YOUR REGISTRATION WILL NOT BE SUCCESSFUL.

Please select your instrument rental and accessories below:

Signature
IMPORTANT:

CREDIT CARD BILLING ADDRESS must match what is on file with BANK issuing card before you SUBMIT- Form will NOT PROCESS if there is a MISMATCH.
Should be Empty:

Instrument Rental Form

Account Owner Details

Player Details

Rental pick up options:

Communications:

Purchases and Payment information

Please select your instrument rental and accessories below:*

IMPORTANT:

Please select your instrument rental and accessories below: