Harpsichord Rental Agreement

Fairfax-Loudoun Music Fellowship

_______________________________________ ________

Approved By Date

Renter's Name ___________________________ Telephone _______________

Address ___________________________________________________________

Date(s) Requested for Rental: From _______________ to____________________

Alternate Dates From _______________ to ____________________

Purpose of Rental ____________________________________________________

Where will the harpsichord be? In Studio _____ Out of Studio _____ Both _______

(Give details if instrument is to be moved out of your studio)

Location ______________________________________ Date ________________

Who Will Be Moving The Instrument? Into Studio ___________________________

Out of Studio ___________________ Other Locations ____________________

Do you understand that you should not move the instrument, set it up, tune, adjust or

pack it up unless you have been preapproved to do so by the FLMF Harpsichord

Committee? Yes _______ No ________

I understand that I am responsible for the care of the harpsichord during the dates of rental and am personally liable to pay for any damages not covered by the FLMF insurance policy, including the $100

Lid Stick (Correctly Packed)

Music Rack

Transposing Block

Bench With Blue Blanket

Cover

Stand

Lockboard

Tool Kit

Humidifier

Hygrometer

Electronic Tuner

Tote (Includes 3 Harpsichord Books)

Furniture Polish, Videotapes and Comforter for Packing Stand in Car

Storage Person at Commencement of Rental Agreement _________________________

Renter on Date of Initial Transport ____________________________________________

Renter on Date of Return ___________________________________________________

Storage Person on Date of Return ____________________________________________

Location of Return ________________________________________________________

Date of Return ___________________________

PAYMENT RECEIVED: DATE:

Basic Rental For "In Studio" Use ________________________ ______

"Out of Studio" Use ________________________ ______

Additional Rental Fees ________________________ ______

Transportation In ________________________ ______

Transportation Out ________________________ ______

Deposit - $100.00 ________________________ ______

TOTAL (Separate Check) ________________________ ______

Additional Fees (Extended time, etc.) ________________________ ______

Return of Deposit ________________________ ______