Band Instrument Repair-MB

Band Instrument Repair Request

School Name*

Student Name*

Parent or Guardian Name*

Parent or Guardian Phone #*

Parent or Guardian Email Address*

Instrument Brand*

Type of Instrument (ex. Flute, Trumpet, Alto Sax, etc)*

What is wrong with the instrument? Please be as detailed as possible. *

I authorize Music Central to have full access to my instrument and transport it to their repair shop for full evaluation. If I agree to the repair estimate when called, I understand final repair fees must be paid in full before my instrument will be*

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