Roberson's Rapid Rental

We will call you when your instrument, accessories and instructional materials for your school are ready for pick up at the store.
The Primary Applicant must be present at pick up with their own current driver's license (with correct address) and a credit card with logo (Visa, Master Card, etc.) in their name to complete the rental contract.
Liability Damage Waiver (LDW - detailed on our Rentals page) is a highly recommended option available only at the time of initial rental. You will be charged for 3 months of LDW at pick up if you select the option, as it is a "per month" charge. After the 3 month trial period you will be charged the monthly rental rate (applies to instrument purchase) plus the monthly LDW rate (does not apply towards purchase).
LDW may be cancelled at any time.
(*Group 3, 4 & 5 instruments may require an in-store credit check)
Enter the validation code "RMRRRC019" (without the quotes) and then complete the online form accurately and click "Submit."

Band Instrument Choice:*
Orchestral Instrument Choice:*
Validation Code (From Website)*
Student Name:*
Grade:*
School Name:*
Name of Parent or Guardian (Primary Applicant)*
Email Address:*
Street:*
P. O. Box
City:*
State:*
Zip Code:*
Home Phone:*
Employer:*
Work Phone:*
Name of Spouse (Use N/A if applicable)*
Spouse's Employer (Use N/A if applicable)*
Spouse's Work Phone (Use N/A if applicable)*
I would like to add LDW:*
Comments: