Musical Instrument Purchase Form
Date of Request
*
-
Day
-
Month
Year
Date
Name of Child
*
First Name
Last Name
Name of Parent
*
First Name
Last Name
Email
example@example.com
Phone Number
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Hidden-Instrument you wish to purchase?
Drums - £150 Deposit
Keyboard - £50 Deposit
Guitar - £20 Deposit
Violin - £25 Deposit
Ukelele - £25 Deposit
Instrument you wish to purchase?
*
Drums - £150 Deposit
Keyboard - £50 Deposit
Guitar - £20 Deposit
Bass Guitar - £50 Deposit
Violin – £25 Deposit
Ukelele - £25 Deposit
Maximum Budget for Instrument
*
Average Cost of Drums is between £200 - £300; Keyboard £70 - £120; Guitar/Ukelele £30 - £50; Violin £40-£50;
Are you willing to Travel to Collect
*
Yes
No
Distance to Travel (if applicable)
If you're not willing to collect, are you willing to cover the cost of collection (incl. petrol)?
Yes
No
My undertaking - Please Tick All Statements
*
I understand that Templesprings do not take a responsibility for the quality of purchased instruments.
I understand Sold as Seen Policy says sold in existing condition.
I will pay the balance for the instrument once purchased
I will collect the instrument within 24 hours
Please select at least one product to pay the deposit below.
*
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Drums Deposit
£
150.00
Quantity
0
1
2
3
Keyboard Deposit
£
50.00
Quantity
0
1
2
3
Guitar Deposit
£
20.00
Quantity
0
1
2
3
Violin Deposit
£
25.00
Quantity
0
1
2
3
4
Ukulele Deposit
£
25.00
Quantity
0
1
2
3
4
Bass Guitar
£
50.00
Quantity
0
1
Total
£
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signed
*
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Submit
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