Please complete the following if you’re currently renting a Meyer Music instrument and your student is ready to exchange it for an upgraded Step-Up instrument.

If you’re not currently renting, please visit a Meyer location or attend a school event to begin a new step-up instrument rental.

Account Info

Adult Name *

First

Last

Student Name *

First

Last

Email *

Phone *

Number associated with your Meyer account

Meyer Account Number

If known, otherwise leave blank

School District *AddisonAllendale PublicAlleganBangorBig RapidsBrandywineBlack RiverByron CenterCadillacCentral MontcalmChippewa HillsCharlotteColomaCoopersvilleDeWittEast Grand RapidsEaton RapidsEdwardsburgFennvilleForest Hills CentralForest Hills EasternForest Hills NorthernFremontFruitportGrandvilleGrand Rapids Chr.GreenvilleGull LakeHanover-HortonHartHastingsHillsdaleHolland PublicHopkinsHudsonville PublicHudsonville- Unity Chr.IoniaJenisonLakewoodLakeview - Battle CreekLakeview - Montcalm Co.LawrenceLawtonManisteeMarshall PublicMattawanMontagueMona ShoresNewaygoOnstedParma WesternPlainwellPaw PawReadingSaugatuckSchoolcraftShelbySouth HavenSouth LyonSpartaSpring LakeSt. JosephTecumsehThree RiversVicksburgWaylandWest OttawaWhitehallZeelandSCHOOL NOT LISTED

Name of School *

School Building *

Enter which specific middle school or high school your student attends

Instrument Info

Instrument Returning *FluteClarinetAlto SaxTrumpetFrench HornTromboneEuphoniumOTHER

What instrument are you currently renting from Meyer that you wish to exchange?

Other instrument *

Step-Up Instrument Selection *Flute- Yamaha 372 Allegro $68/monthFlute- Trevor James F1 $68/monthFlute- Yamaha 472 Allegro $116/monthClarinet- Buffet Zoe $48/monthClarinet- Yamaha Allegro $68/monthClarinet- Backun Protege $89/monthClarinet- Yamaha 650II $89/monthAlto Sax- Yamaha Allegro $127/monthAlto Sax- Cannonball Raven $127/monthTrumpet- Yamaha Allegro $68/monthTrumpet- Cannonball Lynx $89/monthTrumpet- Bach Strad 180S37 $148/monthFrench Horn- Yamaha 567 $169/monthTrombone- Cannonball Sceptyr $68/monthTrombone- Yamaha Allegro $89/monthEuphonium- Yamaha 321S $127/monthEuphonium- Eastman 421S $127/monthINSTRUMENT NOT LISTEDUNSURE OF MODEL

If your student tried an instrument at school but they don't remember which, select UNSURE and we'll look it up for you.

Other Instrument Requested:

What other instrument or model are you interested in?

Instrument *

Just let us know what instrument and we'll locate the model info

Next Steps *

• We're ready for our upgraded instrument! Please exchange at school on the Meyer rep's next visit
• We still have a few questions, please contact me before finalizing the exchange

Online Signature *

I certify that I am over 21 and am the adult associated with this student's account. I am aware of the monthly rate increase for my selected instrument.

Submit