Britannia Music Shop
Specialists in Musical Instrument Hire

Instrument

Title*

First Name*

Middle Name(s)

Last Name*

Address 1*

Address 2

Town*

Post Code*

Phone Number*

Mobile Number*

Email Address*

1. ID (please select)

Passport

Driving Licence

2. Proof of address

Utility Bill

3. Payment Card

Debit/Credit Card
(Cardholder must be the Hirer)

Current Account Details
(must be the Hirer above)

4. Bank details

You will need to have ALL 4 of the following:

The Hirer - must be a UK resident over 21 years old

Your personal information will only be used in relation to this instrument hire agreement and will not be used for marketing purposes.

Please note that occasionally instruments are out of stock and unavailable for hire. In these instances you will be refunded and contacted when the instrument becomes available again if requested. By continuing, you accept your understanding of this.

I agree to all hire terms & conditions *