Musical Instrument Purchase Form
Date of Request
*
/
Day
/
Month
Year
Date Picker Icon
Name of Student
*
First Name
Last Name
Name of Parent (if applicable)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Back
Next
Hidden-Instrument you wish to purchase?
Drums - £150 Deposit
Keyboard - £50 Deposit
Guitar - £20 Deposit
Violin - £25 Deposit
Ukelele - £25 Deposit
Other
Instrument you wish to purchase?
*
Drums - £150 Deposit
Keyboard - £50 Deposit
Guitar - £20 Deposit
Bass Guitar - £50 Deposit
Violin – £25 Deposit
Ukelele - £25 Deposit
Other
Maximum Budget for Instrument (in £)
*
Average Cost of Drums is between £200 - £300; Keyboard £70 - £120; Guitar/Ukelele £30 - £50; Violin £50-£80
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. Please note that Stripe charges a transaction fee of 3.2%.
prev
next
( X )
Drums Deposit
£
150.00
Keyboard Deposit
£
50.00
Rhythm Guitar Deposit
£
20.00
Bass Guitar Deposit
£
50.00
Violin Deposit
£
25.00
Ukulele Deposit
£
25.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signed
*
Clear
Submit
Should be Empty: