Potter Violins Rental Contract Update

Thank you for your decision to rent a violin through Potter Violins and the Drew Robertson Music Studio! To help simplify the rental process and keep inventory records current, please complete the form below.

Thank you!


Store Hours:

Tuesday-Friday 10:00 AM - 6:00 PM

Saturday 10:00 - 4:00 PM

Closed Sunday & Monday

Potter Violins Contact Information:

Phone: (301)652-7070

7711 Eastern Avenue

Takoma Park, MD 20912

Personal Information
Parent Name *
Parent Name
Student Name *
Student Name
Home Address *
Home Address
Primary Phone *
Primary Phone
Alternate Phone
Alternate Phone
Payment & Plan Information
This will be used to confirm your payment option.
Instrument Information
You will find the information you need for the following questions on a sticker located to the right of the end button of your rental instrument.
Please enter the code exactly as it appears on your instrument, including any hyphens or symbols.
Agreement
I acknowledge receipt of and have read and agree to all terms and conditions as outlined in the Rental Contract Terms and Conditions provided by Potter Violins. This contract is a contract under seal and intended to be a specialty under Maryland law. *
Signed *
Signed
Please type your full name below as an electronic signature