Orchestra Rental Agreement
Kniskern Music House, Inc.
                                              Teacher recommended!!

Please call me anytime if you prefer to fill out your contract over phone!  
Kathleen Kniskern
Please choose your instrument:
$ initial payment covers your violin, viola, or cello rental 'til January, 201
Please call  for bass availability
1/4 Violin
12" Viola
13" Viola
1/2 Violin
14" Viola
3/4 Violin
1/2 Cello
1/4 Cello
3/4 Cello
4/4 Violin
After January 01, 2018
All violins and violas $ rental + $.00 M&R +  nys tax = $ per month

All cellos $ rental + $.00 M&R +$ nys tax = $per month
Please fill out your information
(*) = Required Fields
*Father/Guardian Name
*Mother/Guardian Name
*Street Address
*Child's Full Name
Employer Information:
*Father/Guardian Employer
*Mother/Guardian Employer
*School Name (Shenendehowa, Niskayuna or  Saratoga)
Schools Only)
Check One
Please deliver instrument to school
I want to pick up instrument at Kniskern Music House
(you will be contacted by Kathleen Kniskern for
your child's personal fitting).
Credit Card Information:
*Exp. Date
*Security Code
*Name on card
Master Card
American Express
*Card Number
Kniskern Music House Instrument Rental Terms & Conditions
I have read,understand, and agree to the Kniskern
Music House Instrument rental terms & condtions.
*Please Initial to
Please verify your information
before submitting.

Thank you!
Kathleen Kniskern