Please Note: If interested in used instruments of these models, please Contact Us. We offer quality House instruments at an affordable, budget-conscious price. Simply complete this request and we'll email you an invoice for your approval. Or Contact Us for more details. You won't be disappointed! If you have any questions, feel free to use the Comments field at the end of this form. Step 1 of 4 25% Select Your Instrument:*Prices listed reflect your discount.-- Please Select --FluteClarinetTrumpetTromboneAlto SaxophonePiccoloTenor SaxophoneFrench HornEuphonium / BaritoneTubaPercussionSelect Instrument Manufacturer*Refer to the Price List above to see the prices for Student Model Instruments available from these manufacturers.-- Please Select --HouseHouse w/ F AttachmentChoose For Me Based On My SchoolSelect Instrument Manufacturer*Refer to the Price List above to see the prices for Student Model Instruments available from these manufacturers.-- Please Select --House Single HornHouse Double HornChoose For Me Based On My SchoolSelect Instrument Manufacturer*-- Please Select --House COMBOHouse Bell KitInterested in more affordable options? Consider our Used Budget instruments. Contact us for inventory and assistance by email: sales@starcitymusic.com or call (540) 772-7722.Important Optional Accessories*Why make two trips? We have a great basic package called the Student Starter Pak which includes your child's music book, a music stand for home practice, reeds (if applicable), and an instrument care kit for the great low price of $29.99 plus tax.Yes, I would like the Student Starter Pak!Not at this time.Student InformationStudent Name* First Last School*Select a SchoolAlbert Harris ElementaryAlleghany HighAltavista CombinedAndrew Lewis MiddleAuburn HighAuburn MiddleBassett HighBath County HighBedford MiddleBenjamin Franklin MiddleBlacksburg HighBlacksburg MiddleCave Spring HighCave Spring MiddleCentral AcademyChatham HighChatham MiddleChristiansburg HighChristiansburg MiddleClifton MiddleCovington MiddleDalton IntermediateDan River HighDan River MiddleDublin MiddleEastern Montgomery HighFieldale-Collinsville MiddleForest MiddleFranklin County HighFuqua SchoolGlenvar HighGlenvar MiddleGretna HighGretna MiddleHidden Valley HighHidden Valley MiddleJames Breckinridge MiddleJames Madison MiddleJames River HighJefferson Forest HighJeter-Watson IntermediateLaurel Park MiddleLiberty HighLinkhorne MiddleLord Botetourt HighLucy Addison MiddleLylburn Downing MiddleMagnavista HighMartinsville HighMartinsville MiddleMaury River MiddleMillboro ElementaryNew CovenantNorth CrossNorthside HighNorthside MiddleParry McCluer HighParry McCluer MiddlePatrick Henry ElementaryPatrick Henry HighPulaski County HighPulaski County MiddleRadford HighRead Mountain MiddleRoanoke CatholicRockbridge County HighRustburg HighRustburg MiddleSalem HighShawsville MiddleStaunton River HighStaunton River MiddleStonewall Jackson MiddleTunstall HighTunstall MiddleValley ElementaryWaddell ElementaryWestover Christian AcademyWilliam Byrd HighWilliam Byrd MiddleWilliam Fleming HighWoodrow Wilson MiddleOtherOther School*School not listed above? Please tell us here. Note that "School Delivery" is only available for the schools listed above.Choose your delivery option:*We offer school delivery, home delivery by FedEx, or in-store pickup. School Delivery is limited to the schools in the list above.School DeliveryHome Delivery by FedExIn-store PickupChoose your delivery option:*We offer home delivery by FedEx, or in-store pickup. (School Delivery is limited to the schools in the list above.)Home Delivery by FedExIn-store PickupIf you choose Home Delivery by FedEx, we will ship your instrument in time for the start of your school year. FedEx shipping fees by instrument: Flute, Clarinet, Oboe, Trumpet, Trombone, Violin, Viola, and Percussion: $14.95 Alto Saxophone, Tenor Saxophone, French Horn, and Euphonium: $24.95 Tuba: $50.00 Please contact us for current rates of instruments not listed here.In-Store Pickup DatePlease select the date you wish to pick up your instrument from our store so we can have it ready. Please allow 24 hours after we have received your signed paperwork for us to process your reservation. Please take into account our weekend hours and holidays. This purchase is for:*2018-2019 School Year Parent / Guardian Information:Parent / Guardian Name* First Last Address* Street Address Address Line 2 City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY ZIP Code Phone*(###)###-###Email*We will email you a copy of your paperwork. Billing InformationBilling Information*Is your Billing Info the same as your Parent Info?YesNoBilling Address Street Address Address Line 2 City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY ZIP Code Credit Card*Your card will not be charged until we receive your signed paperwork. American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Security Code Cardholder Name [fa type="lock"] Safe & Secure Almost Done!Comments:After you submit this form by pressing the submit button below here's what will happen: We'll email you a copy of your paperwork within 48 hours with your total clearly explained. If you do not receive your paperwork within 48 hours check your SPAM folder then contact us. Review and sign the agreement. Promptly fax (540-772-3208) or scan and email (sales@starcitymusic.com) the agreement back to us to help ensure your instrument will be available. Return the original paperwork to us by bringing it to the store or dropping it in the mail. Once we receive your signed paperwork we will process your order and have the instrument ready for delivery/pickup. Please Note: We will reserve your instrument for 5 business days from your request. Due to demand and changing inventory levels, we will be forced to cancel your Rental/Purchase Request if we do not receive your signed agreement within 5 business days. If you fax or email your agreement to us, we still need the original signed copy, but by faxing promptly you will help ensure that your instrument will be available.SPAM Prevention
