MUSIC TEACHERS OF FAIRFAX-LOUDOUN
Quality Music Education for Teachers and Students
Music Teachers of Fairfax-Loudoun
Harpsichord Rental Agreement
_______________________________________ ________
Approved By Date
Renter's Name ___________________________ Telephone _______________
Address ___________________________________________________________
Date(s) Requested for Rental: From _______________ to____________________
Alternate Dates From _______________ to ____________________
Purpose of Rental ____________________________________________________
Where will the harpsichord be? In Studio _____ Out of Studio _____ Both _______
(Give details if instrument is to be moved out of your studio)
Location ______________________________________ Date ________________
Who Will Be Moving The Instrument? Into Studio ___________________________
Out of Studio ___________________ Other Locations ____________________
Do you understand that you should not move the instrument, set it up, tune, adjust or
pack it up unless you have been preapproved to do so by the MTFL Harpsichord
Committee? Yes _______ No ________
I understand that I am responsible for the care of the harpsichord during the dates of rental and am personally liable to pay for any damages not covered by the MTFL insurance policy, including the $100
Lid Stick (Correctly Packed)
Music Rack
Transposing Block
Bench With Blue Blanket
Cover
Stand
Lockboard
Tool Kit
Humidifier
Hygrometer
Electronic Tuner
Tote (Includes 3 Harpsichord Books)
Furniture Polish, Videotapes and Comforter for Packing Stand in Car
Storage Person at Commencement of Rental Agreement _________________________
Renter on Date of Initial Transport ____________________________________________
Renter on Date of Return ___________________________________________________
Storage Person on Date of Return ____________________________________________
Location of Return ________________________________________________________
Date of Return ___________________________
PAYMENT RECEIVED: DATE:
Basic Rental For "In Studio" Use ________________________ ______
"Out of Studio" Use ________________________ ______
Additional Rental Fees ________________________ ______
Transportation In ________________________ ______
Transportation Out ________________________ ______
Deposit - $100.00 ________________________ ______
TOTAL (Separate Check) ________________________ ______
Additional Fees (Extended time, etc.) ________________________ ______
Return of Deposit ________________________ ______
