Sign Up Online! | J.R. Judd Violins

Step 1 of 5 - Billing Information

Parent/Guardian Name*
First Last
Address*
Street Address City State ZIP Code
Primary Phone*
Secondary Phone
Email*
Please select Yes if your school is listed here:*
- Yes
- No
Central York School District
Donegal School District
Hempfield School District
Moon Area School District
Quaker Valley School District

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 District	Lampeter-Strasburg School District
Bellefonte Area School District	Lewisburg Area School District
Berwick Area School District	Lower Dauphin School District
Central Dauphin School District	Manheim Central School District
Central York School District	Manheim Township School District
Conestoga Valley School District	Northeastern School District
Cumberland Valley School District	Our Lady of Victory
Derry Township School District	Solanco School District
Donegal School District	State College Area School District
Ephrata Area School District	Susquehanna Township School District
Gettysburg Area School District	Susquehanna Waldorf School
Hempfield School District	Veritas Academy
Hinkletown Mennonite School

We visit the following schools on a quarterly basis:

Altoona Area School District	Richland School District
Clearfield Area School District	Quaker Valley School District
Hollidaysburg Area School District	Windber Area School District
Moon Area School District

Delivery Method*
Shipping 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 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*
Credit Card Number*
Expiration Month:*
Year*
Name as it appears on card*
Security Code*
Billing Address
- Check this box if billing address is different.
Credit Card Billing Address
Street Address City 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 Agreement
When the contract is complete
Authorization*
- 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?

Step 1 of 5 - Billing Information

Central York School District

Donegal School District

Hempfield School District

Moon Area School District

Quaker Valley School District

This book is required for the class

Renter Shipping Information