Becker Fine Stringed Instruments
6567 University, Windsor Heights, IA 50325
515•274•9420 play@beckerfineinstruments.com

Becker's offers a rent-to-own program with high quality Eastman instruments at an affordable price.

         Hours:
        Tuesday - Friday    10 am - 5:30 pm
Saturday 10 am - 3 pm
   Sunday & Monday         Closed
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To reserve your instrument, please choose ONE of the options below

CLICK HERE if your player is taking orchestra/band lessons through one of the following school districts:
Ames, Indianola, Pella or West Des Moines

Use of this link requires payment of one month's rental fees in advance (refundable if rental is cancelled before instrument is acquired). To reserve your instrument but pay at a later date, please complete the Instrument Reservation Form below instead.

For all other school rentals, private lessons, or if you're not sure, please complete the Instrument Reservation Form below.

Completion of the Instrument Reservation Form does not require immediate payment but reserves your instrument. Rental fees may be paid when the instrument is picked up at our shop. For shipped instruments,
an invoice will emailed after completion of the form below.

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Please complete the form below and we will contact you with further information regarding the acquisition of your instrument and accessories, including payment information. Prior to receipt of your instrument, you'll need to provide a valid credit card to keep on file, or a cash deposit of $150 for all instruments, except cellos which require a $250.00 deposit.

If you don't get a confirmation email from us within one business day, please call 515.274.9420, or email play@beckerfineinstruments.com

Instrument Reservation Form

Adult / Responsible Party First Name*

Adult / Responsible Party Last Name*

Adult / Responsible Party Middle Initial

Address*

Apt./Unit #

Mailing Address (if different from street address)

City*

State*

Zip Code*

Cell Phone

Home Phone

Employer

Employer Address

Employer Phone

Player's First Name*

Player's Last Name*

Where will the player be taking lessons?

Player's School

Instrument Instructor Name

What Instrument do you need?*

What size instrument is needed? (Orchestra instruments only)*

Would you like the optional maintenance program?*

What lesson book do you need?

Do you need a music stand? ($19.95)

Automatic monthly payments will be charged to a card on file monthly. Choose Opt Out if you do not want auto payments

If you'd like payment reminders in addition to email, please choose your preference

Comments/Questions

Problems with this form? Please call 515.274.9420, or email play@beckerfineinstruments.com