Business Name: 

Address: 

City/State/Zip: 

Your Name(s): 

Phone: 

Fax: 

Email Address: 

Years in Business: 

Business Specialty(s)?  Please Choose: Full line Pianos (acoustic) Band Instruments Guitars Sound/amps Drums Electronic keyboards Sheet music Orchestra strings

Major Brand Lines You Carry
 

Exclusive Lines You Carry (50 mile radius)
 

How Many Employees:
Sales    Office    Shop    School Reps    Teachers 

Do you currently use a private label brand for: 
Band Instruments
Drums 
Guitars 
Accessories
None

Do you rent: 
Band Instruments
String Instruments 
Guitars 
Amplifiers
Percussion/Bell Kits
None

What is your estimated annual unit replacement count for school rentals (quantities):
Band Instrument    String Instruments    Percussion/Bell Kits 

Does your competition use privately branded stencil instruments in their school rental programs?
yes no

Would you like to hear more about obtaining private brand products for your business?
yes no