Play Today Music Rentals Application form and Conditions

Recital 400 series flute

Chosen for it’s beautiful appearance and tone. The 400 series flute has Japanese silver plated nickel silver body with fine Italian pads and springs. Fitted with French style plateau keys for strength this flute will surely please the discerning flautist.

Term rental fee $40.00 per school term (4 payments per year) * plus establishment fee
Rent to own fee $40.00 per month on an 13 month plan* plus establishment fee

Name:*		DOB:*
Address:*
Suburb:*
State:
Postcode:*
Telephone:*
Mobile:
Email Address:
License Number:*		Expiry Date:
Medicare Number:*

Employer:*
Term:	(Months/Years)
Address:
Telephone:*

Credit Card
Name on Card:
Card Number:
Card Type:
Expiry Date:	Month Year
Security Code:	(if applicable)

Direct Debit
Bank/Branch:
BSB:
Account Number:

I have read and agree to the rental agreement Terms and Conditions

Name:
School:

Reference 1:*
Reference 2:*