Flesher-Hinton Music Co.
Rental Display Request Form

3936 Tennyson St. Denver, CO 80212
303-433-8891
800-225-8742
Fax: 303-455-7062

This is a secure form and your information is held in strictest confidence.

Teachers: Please fill this form out as completely as possible. Your Educational Representative will contact you to confirm the date and time of display.

 

Requested Rental Display Date (ex.11/11/1976) From what time: to what time:

School

Address

City Zip

Director Name

Director Email Address
School Phone Home or Cell Phone
Display Location (Room)
   
   
Instrument # Requested # of Books Requested   Instrument #Requested # of Books Requested   Instrument # Requested # of Books Requested
Flute   Trumpet   Perc. Kit (bells and practice pad)
Clarinet   Baritone   Snare Drum Kit (snare and practice pad)
Oboe

  F-Horn   Combo Kit (Bells, snare and practice pad)
Alto Sax   Trombone        
Tenor Sax                

 

Band Method Book Used

Instrument # Requested # of Books Requested   Instrument #Requested # of Books Requested   Instrument # Requested # of Books Requested
Violin 4/4   Viola 15" Full   Cello 4/4
3/4   14'' Int.   3/4
1/2

  13'' Jr.   1/2
1/4                
1/8                

 

String Method Book Used

 

Enter any other notes or comments below:

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Thank you

-fhmc