Trial Contract

Please fill in the information and fax this contract back to Blue Danube Violins at: (480) 820-2505 to arrange your trial period.

The undersigned hereby acknowledges that the below listed merchandise is to be removed from the premises of Blue Danube Violins for trial purposes and warrants that the property will be returned in the same condition upon the date agreed. Blue Danube Violins will be entitled to collect from the undersigned any and all costs and/or legal fees incurred in the enforcement of this contract.

ITEM(S): INSTRUMENT/BOW/CASE: ________________________________

PRICE: ______________________________

*Please note: You may temporarily add these instruments to your insurance policy if you so wish.*

Name and address: _________________________________________________

__________________________________________________________________

Telephone: Home_____________________ at Work: ______________________

Fax number: ________________________ Email : ________________________

Today's Date: _______________________ Return Date: __________________

Signature: ________________________________________________________

Return Acknowledgment _____________________________________________

Visa/Mastercard (Circle One)

Please include card number, expiration date, how your name appears on the card

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