Repair Request form
If your instrument is in need of repair, please submit the following information.
If you have any questions or need additional assistance please contact
sales@RentMyInstrument.com
or call 877-569-0240
REPAIR DETAILS
Instrument Type
---Select One---
Flute
Oboe
Clarinet
Alto Saxophone
Tenor Saxophone
Trumpet
Trombone
Baritone
Drum
Bell
Drum & Bell
Violin
Viola
Serial Number
Description of problem
E-mail
Phone
RETURN ADDRESS
Where should the repaired instrument be shipped?
Name
Attention:
Address 1
Address 2
City
State
--
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code