To help streamline the instrument rental process, you are welcome to fill out the rental application below. One of our AWESOME team members will give you a call within 2 business days to confirm the reservation and answer any other questions you may have. If you would like immediate assistance, please call us at: 503-393-4437

For our current rental rates for each instrument, please click here.

Name First/Middle/Last (Must Be Present Upon Pickup To Sign The Rental Agreement) *

First Name

Last Name

Address (Physical) City, State Zip *

Mailing Address if Different from Physical

Phone Number *

Email *

Instrument You Would Like To Rent *

Flute

Piccolo

Clarinet

Alto Sax

Tenor Sax

Oboe

Trumpet

Cornet

Trombone

French Horn

Baritone

Euphonium

Percussion Kit

Violin

Viola

Cello

Upright Bass

Size

For Orchestral Instruments Only

1/8 - 10"

1/4 - 11"

1/2 - 12"

3/4 - 13"

4/4 - 14"

Not Sure

Other

Condition Preferred (Based On Availability)

New

Used

Employer *

Length Of Current Employment *

Employer Phone Number *

Student's Full Name & School *

Have You Ever Filed For Bankruptcy? *

If So, What Year?

Yes

*What Year?

Secondary Contact *

Secondary Contact Phone Number *

Pick up Date *

If instrument is not picked up by this date and we have not heard from you, we will put it back in stock.

Thank you for your rental request submission. We will get your instrument ready and a rental contract started for you. Please be sure to bring in your Oregon ID/Driver’s License at time of pick up. If you cannot pick up your instrument by the date you entered, please let us know. If we do not hear from you, we will put it back in the rental fleet. We cannot guarantee that we will have the instrument you need available if this happens.

Bringing People and Music Together.

Uptown Music, 3827 River Rd N, Keizer, OR 97303503-393-4437service@uptownmusic.com

Regular Business Hours: Monday-Friday 10 a.m. - 6 p.m. & Saturday 10 a.m. - 4 p.m.