House Purchase Form – Star City Music

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

Select Your Instrument:*
Prices listed reflect your discount.
Select Instrument Manufacturer*
Refer to the Price List above to see the prices for Student Model Instruments available from these manufacturers.
Select Instrument Manufacturer*
Refer to the Price List above to see the prices for Student Model Instruments available from these manufacturers.
Select Instrument Manufacturer*
Interested 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 Information
Student Name*
First Last

School*
Other 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 Delivery

Home Delivery by FedEx

In-store Pickup
Choose 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 FedEx

In-store Pickup
If 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 Date
Please 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.
MM slash DD slash YYYY

This purchase is for:*

2018-2019 School Year

Parent / Guardian Information:
Parent / Guardian Name*
First Last

Address*
Street Address Address Line 2 City State ZIP Code

Phone*
(###)###-###
Email*
We will email you a copy of your paperwork.

Billing Information
Billing Information*
Is your Billing Info the same as your Parent Info?

Yes

No
Billing Address
Street Address Address Line 2 City State ZIP Code

Credit Card*
Your card will not be charged until we receive your signed paperwork.

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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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