We can pick up your instrument from your child's school! For fastest turnaround you can ship your instrument to us and we'll return it to the school on our next visit (usually within a week or less). Our address: 2030 East Main Street Salem VA 24153. Questions? Give us a call us at 540.772.7722. PLEASE NOTE: We could be at your child's school as soon as the next day! After you've submitted this form, please print the confirmation email and place it in your child's instrument case to leave with the Band Director. Step 1 of 3 33% Instrument Type*-- Please Select --FlutePiccoloClarinetOboeAlto SaxophoneTenor SaxophoneTrumpetTromboneFrench HornTubaEuphoniumViolinViolaCelloUpright BassSnare Drum KitBell KitCombo Snare / Bell KitOther (please specifty below)Other Instrument TypeInstrument Make*-- Please Select --ArmstrongArtleyBachBengeBundyConnGemeinhardtKingJupiterSelmerVitoYamahaOther (please specify below)Other Instrument MakeInstrument ModelInstrument Serial NumberReported Issue*Please give us as much information as you can about the issue you are currently expirencing with your instrument. i.e. Third key on the right hand doesn't work, Slide won't move, Water leaks out under cap, Won't play above a D, The doohicky and the bottom part of the clarinet falls off. Any description like this is helpful. Feel free to place a piece of tape on a part that is malfunctioning. Parent / Guardian InformationName* First Last Address* Street Address Address Line 2 City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY ZIP Code Phone*Email* Account Number Student InformationStudent Name* First Last School*-- Please Select --Alleghany High SchoolAltavista Combined SchoolBedford Middle (Bedford Co, VA)Blacksburg Middle (Blacksburg, VA)Central Academy (Botetourt County, VA)Chatham Middle (Chatham, VA)Christiansburg Middle (Christiansburg, VA)Clifton Middle (Allegheny County, VA)Dalton Intermediate (Radford, VA)Dan River Middle (Ringgold, VA)Dublin Middle (Pulaski Co.)Forest Middle (Forest, VA)Gretna Middle (Gretna, VA)Lylburn Downing Middle (Lexington, VA)Maury River (Lexington, VA)Millboro Elem. (Bath Co, VA)Parry McCluer (Lexington, VA)Pulaski High School (Pulaski Co.)Pulaski Middle School (Pulaski Co.)Read Mtn Middle (Botetourt Co, VA)Rockbridge Middle (Rockbridge Co, VA)Staunton River (Bedford Co, VA)Tunstall Middle (Dry Fork, VA)Valley Elementary (Bath Co, VA)Waddell (Lexington, VA)Other (please specify below)Other School*School not listed above? Please tell us here. Note that Free School Pickup & Delivery is only available for the schools listed above.SPAM Prevention