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Step 1 of 5 - Billing Information 20% Parent/Guardian Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Secondary PhoneEmail* HiddenPlease select Yes if your school is listed here:* Yes No Instrument*ViolinViolaCelloBassRental*StandardUpper-levelDeluxeRental*StandardUpper-levelDeluxeRental*StandardHybridCarvedDeluxeRental*StandardHybridModel 88Size*1/321/161/101/81/41/23/44/4Size*1/41/23/44/4Size*3/44/4Size*11 inch12 inch13 inch14 inch15 inch15 1/2 inch16 inch16 1/2 inchSize*14 inch15 inch15 1/2 inch16 inch16 1/2 inchSize*15 1/2 inch15 3/4 inch16 1/4 inchSize*1/81/41/23/44/4Size*1/161/101/81/41/23/44/4Size*3/44/4Size*4/4Size*1/81/41/23/4Size*1/23/4Size*3/4Do you know your child's size? Use the quick tutorial Here.Student's Name* First Last School District*Avonworth School DistrictBellefonte Area School DistrictBerwick Area School DistrictBishop McCort AcademyBrookville Area School DistrictCentral Dauphin School DistrictCentral York School DistrictClearfield Area School DistrictConestoga Valley School DistrictCovenant Christian AcademyCumberland Valley School DistrictDerry Township School District (Hershey)Donegal School DistrictEphrata Area School DistrictGettysburg Area School DistrictHarvest Homeschool AcademyHempfield School DistrictHinkletown Mennonite SchoolHollidaysburg Area School DistrictHoly Family School of BerwickJohnstown Area Catholic SchoolsLampeter-Strasburg School DistrictLancaster Country Day SchoolLewisburg Area School DistrictManheim Township School DistrictMoon Area School DistrictNortheastern School DistrictOur Lady of VictoryQuaker Valley School DistrictShamokin Area School DistrictSolanco School DistrictSomerset Area School DistrictState College Area School DistrictSusquehanna Township School DistrictVeritas AcademyWest Shore Christian AcademyWilliamsport Area School DistrictWindber Area School DistrictWoodland Hills School DistrictSchool* School District (if applicable) School (if applicable) This book is required for the class Select the book/CD needed Suzuki Book - $9.99 Select the book needed Essential Elements Book (original series) - $5.83 HiddenSelect the book needed Suzuki Book Violin- $9.99 Suzuki Book Viola - $9.99 Suzuki Book Cello - $9.99 Suzuki Book Bass - $9.99 Select the book needed Essential Elements, $12.99 Select the book needed Essential Elements, $12.99 Select the book needed Essential Elements, $11.65 Fiddling Fingers, $10.55 Essential Elements & Fiddling Fingers, $22.20 Both books are requiredHiddenSelect the book needed Essential Elements Book - $11.65 Foundations for Strings Book - $9.81 Gray's Woods & Park Forest Select the book needed Sound Innovations, $11.99 Select the book needed Sound Innovations, $11.99 Sound Differentiation, $8.99 Select the book needed String Basics, $10.55 Select the book needed Measures of Success, $9.50 Select the book needed Essential Elements $12.99 A Better Beginning $6.99 Select the book needed Essential Elements $12.99 A Better Beginning $6.99 Select the book needed Strictly Strings, $7.41 Your instrument comes with a complimentary professional shoulder rest. Your violin outfit includes: The instrument, bow, case, a professional shoulder rest, a rosin, and a complimentary music stand. Your viola outfit includes: The instrument, bow, case, a professional shoulder rest, a rosin, and a complimentary music stand. Your cello outfit includes: The instrument, bow, bag, a rockstop, a rosin, and a complimentary music stand. Your bass outfit includes: The instrument, bow, bag, a rockstop, a rosin, and a complimentary music stand.Do you need any additional accessories (e.g. a professional shoulder rest, lesson book)? Do you need any additional accessories (e.g. lesson book)? Please select Yes if you want the instrument delivered to the child's school:* Yes No We visit the following schools on a monthly basis: Avonworth School DistrictLampeter-Strasburg School District Bellefonte Area School DistrictLewisburg Area School District Berwick Area School District Lower Dauphin School District Central Dauphin School District Manheim Central School District Central York School DistrictManheim Township School District Conestoga Valley School District Northeastern School District Cumberland Valley School District Our Lady of Victory Derry Township School DistrictSolanco School District Donegal School DistrictState College Area School District Ephrata Area School District Susquehanna Township School District Gettysburg Area School DistrictSusquehanna Waldorf School Hempfield School DistrictVeritas Academy Hinkletown Mennonite School We visit the following schools on a quarterly basis: Altoona Area School DistrictMoon Area School District Bishop McCort AcademyRichland School District Clearfield Area School DistrictQuaker Valley School District Hollidaysburg Area School District Windber Area School District Delivery Method*Pick up at ShopShip to HomeSigned up at shopShipping Information* Check this box if shipping is same as previously entered Check this box if shipping is different address. Shipping Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School to be Delivered to:* We will be delivering this instrument to the school. Delivery date will be displayed on the confirmation page.Renter Shipping Information Instruments usually go out within one to two business days. We do our best to ship all items as soon as possible (all orders within the continental US are shipped FedEx unless otherwise requested). RATES: Item One-Way Two-Way One Violin $32.00 $64.00 One Viola $34.00 $68.00 Two Violins $40.00 $80.00 Two Violas $45.00 $90.00 Cello (Eastern US)* Please Contact Us Cello (Western US) Please Contact Us Bass Please Contact Us *Eastern US: AL, CT, DE, GA, FL, IN, MA, ME, MD, NC, NH, NJ, NY, OH, PA, RI, SC, TN, VA, VT, WV. We ask that you allow us one business day to prepare your rental instrument before coming to our shop to pick it up. J.R. Judd Violins 1964 Lycoming Creek Road Williamsport, PA 17701 Shop Hours: Day Open Close Sunday Closed Monday Closed Tuesday 9:00 8:00 Wednesday 9:00 5:00 Thursday 9:00 5:00 Friday 9:00 5:00 Saturday 9:00 1:00 Card*VisaMasterCardDiscoverCredit Card Number* Expiration Month:*010203040506070809101112Year*20242025202620272028202920302031Name as it appears on card* Security Code* Billing Address Check this box if billing address is different. Credit Card Billing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please review the information below. Contract Start Date Contract End Date Delivery Date Frequency of Payment Insurance damage-repair coverage included per month Insurance covers all repairs to the instrument, bow, and case. The insurance does not cover string replacement.Number of Payments Total Payment Amount Tax and Insurance damage-repair included. Insurance covers all repairs to the instrument, bow, and case. The insurance does not cover string replacement. While in the rental program players may size up to a larger instrument at no additional cost.Terms of Contract AgreementWhen the contract is completeAuthorization* By checking this box you authorize J.R. Judd Violins to make credit or debit card deductions as a method of payment. Questions for J.R. Judd Violins?
