Application for Instrument Hire Before you apply please note the following Payments Payment must be received before your instrument is released. In the rare case that the instrument requested is not available, we will contact you and offer a refund. You can pay online using the button that appears after this form is submitted. Payment can be made by Switch, Visa or MasterCard. In the Invoice Number field enter the code provided when you submit this form so that we can match your form with your payment. If you are unable to pay online, you can send a cheque made payable to Severn Arts to : Severn Arts Suite 11, Malvern Gate Bromwich Road Worcester WR2 4BN Delivery times Deliveries take place on Wednesdays during term time. Please allow two weeks for delivery, from the date of payment. Due to high volume, orders placed after the 25th August and into September may take longer to be delivered. Terms of Hire We can only hire instruments to pupils who are receiving music lessons from Severn Arts. We are unable to hire instruments to adults Shoulder rests, replacement reeds and strings, and other accessories and expendables are not included in the hire fee. As hirer you are responsible for replacing these items. Please see our Terms and Conditions for full details. Pupil DetailsPupil Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleCurrent School*Free School Meals*Is your child eligible for Free School Meals?YesNoInstrument DetailsInstrument Required*Please note that we do not hire guitars, drums or keyboards.Baritone HornBassoonCelloClarinetCornetDouble BassEuphoniumFluteFrench HornOboeSaxophoneTenor HornTromboneTrumpetTubaViolaViolinViolin/Viola Size*Please enter the length of your child's left arm in cm, from the armpit to the tip of the middle finger so that we can assign the correct sizePlease enter a number from 38 to 64.Cello/Double Bass Size*Please enter your child's height in cm so that we can assign the correct sizeSpecial Instrument RequirementsAs advised by music teacher (e.g. curved-head flute, short-reach bassoon)Preferred Delivery*Please indicate when you require your instrument to be deliveredASAP (please allow two weeks after payment)Beginning of next termAccount Holder DetailsAccount Holder Full Name* MrMrsMissMsDrProf.Rev. 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