Your Journey Begins Now

Complete the rental application below and then return to your cart to complete your rental purchase.

Instrument Rental Application

Please complete the rental application below for our instrument rental approval. Your rental application submission and shopping cart completion is required to complete the rental process.

Get everything your musician needs to start day one of band and your first-month rent FREE.

Make sure you complete your cart checkout after you submit your application information.

Thank you for renting from Wert Music!

Please fill out the following application
and complete your shopping cart checkout.

General Information

Student Name

Parent/Guardian Full Name

School

County

Account Holder Information

Street Address

Apt.

City

Region/State/Province

Postal / Zip code

Phone

Background Information

Employer/Source of Income

Work Phone

SSN

Driver License Number

Have you rented from us before?

Yes

Spouse's Name

Spouse's Employer/Source of Income

Phone Number

Spouse's Email Address

Additional Contacts (friend/relative not living with you)

Contact Name

Contact Phone

Contact Email

Contact Name

Contact Phone

Contact Email

Payment Information

Thank you for providing your personal details for the rental application approval. We will use the information to confirm your approval. You are only two steps away from completing the process.

Click the submit button below and you will be taken to our secure payment information gateway.

We've partnered with Right Signature to ensure your payment information is secure.

Once you've completed the payment information, return to your cart and complete the Get Started Pack purchase.