Save Money on Your Instrument Rental Account!

Extend Now and SAVE up to 25%!!

Choose your selection and Submit your completed form. We will process your prepaid extension and send you a reciept for your records.

Choose Your Extension Special *

Pay for 5 Months and Save 10%

Pay for 7 Months and Save 15%

Pay for 9 Months and Save 20%

Pay for 12 Months and Save 25%

First Name: *

Last Name (Billing Name on the Account): *

Type of Instrument You Rent with us?: *

E-Mail Address: *

Phone Number: *

How should we process your rental extension block request? *

Use my current billing information.

I am providing a new credit card for billing below.

You may provide a new credit card for processing of your extension block payment below. (This cc will remain on file and replace the curent info currently on file for any future billing.)

Name on Card:

Billing Address:

City:

State:

Zip Code:

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CVC#

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