COVID-19 Instrument Rental Return Request

Parent's Name: Student's Name: Street Address: City / State / ZIP: Cell Phone Number: Email Address: Music Teacher: School: Instrument Type:

Is the instrument currently at:

Will the student be continuing in band or orchestra when school resumes in the 2020 / 2021 school year?:

Comments / Special Pickup Constraints / Etc:

Due to COVID-19, we have limited retail store hours to accept returns:

Monday - Friday 2:00 PM - 6:00 PM

Saturday 10:00 AM - 2:00 PM

Due to social distancing, we can only allow one family into our store at a time. We appreciate your patience if you decide to visit us.

For your ultimate convenience, we are providing FREE, contactless home and school pickups and deliveries, so we will come to you!

Please fill out this form and we will be in touch to schedule a pickup day and time. Please allow up to one week for scheduling.

Your automatic payments will be suspended upon receipt of this completed form.

(608)-756-0018

Please email us for fastest response outside of business hours.

Questions? Email us!

2020. Voigt Music Center

Voigt Music Center

2152 W US Highway 14

Janesville, WI 53545