The owner:  Richard Wansbrough, Fairfield Technology Ltd, 2 Orchard Close, Spencers Wood,  Reading, Berkshire. RG7 1EJ                     Tel: (0118) 988 5566   or   07918 - 77 77 01       e-mail: SaxophoneHire@AOL.com     web: www.SaxHire.co.uk

The Customer:-                                                   

Title:

Forenames:

Surname:

Date of Birth:

I am on the electoral roll at my home address:  Yes / No

I agree to a credit search: Yes / No  

Residential status (please circle on of the following):

Home owner:

Renting (with a formal assured shorthold tenancy agreement):

Living with parents:

Sharing with friends:

Date moved to current address ----/----/-------

If less than 5 years ago, please write previous addresses with the respective moving in dates on the back of this form

Home Address:

Address

Address (contd)

Address (contd)    

Address (contd)                  

Postcode                              

Tel (home):           

Tel (mobile):         

e-mail:

Employer Detail (or your partners employer details):

Employer Name:

Address

Address (contd)

Address (contd)

Address (contd)

Postcode

Work Tel

Work e-mail:         

Instrument:             2 month old (as new)  Esprit / Elkhart alto saxophone including carry case, neck strap, mouthpiece, cork grease, cleaning cloths & 2 reeds

Current Value:                     £ 359 (or £289 if bought outright with the option to return it for a refund of £259  within 3 months of purchase.  Includes a free music stand, sax stand, book, DVD and padded neck strap worth £75)   

New Replacement Value: £ 399                                                                                                                                      

Accessory pack required  yes / no (£5 per month to hire)  tuition DVD (£17), tuition book (£10), music stand (£16), sax stand (£16) and padded strap (£16) or Harness (£25 

Terms and condition of this agreement:-

1. The rental payment of £15 per month is payable monthly in advance by credit card.

2. The minimum rental period is 2 months, the maximum period is 6 months.

3. You may purchase the instrument at any time.  A discount of the deposit and all of the rental paid during the first

     6 months would be deducted from the “current value” figure above.  This discount may be transferred to

     any other instrument purchased from me.

4. You may end this agreement by giving one months notice in writing (subject to the minimum period of 2 months).
    If you return the instrument by post, you must use Royal Mail “Special Delivery” service.

5. The deposit of £90 (£115 with the accessory pack) will be refunded on return of the

     instrument (subject to condition).

6. You are responsible for any loss or damage.  Any loss or damage must be notified to the owner immediately.  If
    the instrument is lost or stolen, the customer will pay the owner the full balance owing.

7. Insurance cover is optional, however, it should be noted that instrument repairs can be very expensive.  Insurance
    cover would cost £12.50 per year for a “new for old” policy and is available from BBIS
    on (020) 8759 0825.

8. A late payment fee of £12 will be charged if the rental payment is not received by the due date or if the maximum

    6 month hire term is exceeded.

9. The instrument remains the property of Fairfield Technology Ltd until paid in full.  You must not sell or dispose

    of it before then.

Signed on behalf of the owner

 ……………………………………

Richard Wansbrough – Director

This is a rental agreement regulated by the Consumer Credit Act 1974. Sign it only if you want to be legally bound by its terms

………………………………………

Signature of customer

CARD DETAILS

It is a condition of this rental agreement that authorisation for the card payments are given in this section below.  If there is a problem, I will make a prompt refund if necessary.

CARD NUMBER :

VALID FROM:

VALID TO:

SECURITY NUMBER (last 3 on signature strip):

NAME ON CARD:

I authorise Fairfield Technology Ltd to charge the above card account the monthly rental amounts when payments become due in respect of this rental agreement.

Signed:

Date: