Financing — Circle Music Center
Yamaha
Buy
Services
Lessons
Shop Open
Home
Shop
Pianos/Keyboards
Guitars/Basses/Ukeleles/Amps
Services
Rentals
Repairs
Delivery
Tuning
Location
Lessons
Apply for Lessons
Teachers
Lesson Form
Financing
Yamaha
Buy
Services
Lessons
Shop Open
Home
Shop
Pianos/Keyboards
Guitars/Basses/Ukeleles/Amps
Services
Rentals
Repairs
Delivery
Tuning
Location
Lessons
Apply for Lessons
Teachers
Lesson Form
Financing
Name
*
first, last
First Name
Last Name
Rental/Financing
*
Please specify
Rental
Financing
Tell us what you would like to finance!
Address
*
please include city, state, zip
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
BIrthday
*
11/22/1234
previous address (if less than 2 years)
*
please include city, state, zip
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Landlord/Mortgage Company
*
Include Payment:
Company's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Driver License Number
*
please include state issued, expiration date
Other form of ID (type of credit card)
*
please include expiration
Employment Info:
*
State Position
Employer/Company
*
Employer Address
*
please include city, state, zip
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Monthly Income
*
Employer Number
*
How Long
*
How many months/years under current employer
Previous Employer (if less than 3 years)
*
please include duration of previous occupation
Phone Number
*
(###)
###
####
Send copy of Drivers License to info@lanemusic.com
*
enter "done" when completed
Thank you!
