SECURITY AGREEMENT Horn Hospital, L.L.C.
3796 Valley Road
Marysville, PA 17053
(717) 957-2775
DATE:  05-22-2019

STRING INSTRUMENT LEASE PLAN

1. This is the contract for your musical instrument lease. In the contract, "I" and "me" refers to the person signing at the bottom of the contract. By signing below, you agree to the terms of the contract.  
2. 100% of all lease payments paid, less sales tax, will apply towards the purchase of a final size instrument of the type I am leasing. If this instrument is returned without selecting the next size or final instrument, all fees paid will be considered rent and no refund or credit will apply.  
3. I may also return the instrument at any time, but I am not entitled to any refund. When contract payments are current, I will not be charged for the current month if the instrument is returned by the 15th of the month. I will be charged for the current month if the instrument is returned the 16th of the month or later. I understand and agree that I am fully responsible for any past due payments, late charges, delinquency fees, and if I did not elect Damage & Replacement Coverage, all repair costs.  
4. Damage And Replacement (D&R) Coverage: If I select coverage for Damage and Replacement service at $5.00 per month, Horn Hospital, L.L.C. will maintain this instrument in proper playing condition and replace this instrument if lost by theft, fire or catastrophe during the term of this contract as long as payments are current. I understand that if I choose not to accept the D&R Coverage that I am totally responsible for paying for the instrument if it is lost by any means, and for maintenance to keep the instrument in proper playing condition.  
  I want damage and replacement coverage
I DECLINE damage and replacement coverage
Initial here
 
5. All repairs and maintenance must be performed by Horn Hospital, L.L.C. I hereby authorize representatives from Horn Hospital, L.L.C. to pick up this instrument at a school location for routine repairs and /or warranty inspections.  
6. This agreement shall be from month to month, commencing on the date of this contract and automatically renewing each month thereafter. All payments are due on the tenth day of each month beginning _____/_____/______. The monthly lease payment including tax will be $47.00 each. If you have elected to purchase the D&R coverage at $5.00 per month, your monthly payment will be $52.00. A late charge of $2.00 will be charged if payment is not received by the due date.  

INSTRUMENT INFORMATION

CELLO   

Please select the size Cello you wish to lease

1/4    1/2    3/4    4/4   



(PRINT) NEW     RR
For Office Use Only
  Student Name   Instrument
  School District   Brand
  School Building   Serial No.



  Parent Name   Spouse Name
  Address
  City   State     Zip  
  Home/Cell Phone   EMail  
  Employer   Work Phone
  Spouse Employer   Work Phone



Optional Payment Method:
I authorize Horn Hospital, L.L.C. to automatically bill my credit/debit card each month for my lease payment on the account designated below.

Credit Card: Visa   MasterCard    Acct No.     Exp.Date /     V-code
(Please select your Credit Card type, then type in all numbers without dashes or spaces. The V-code is the 3 digit code on back of your card.)

YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.



Amt. Paid $    
Date         Drivers License #
(Please type in only numbers.)
For Office Use Only
HH Rep
  I have read, understand and agree to all terms of the entire agreement.
Signature
(For online transactions, your typed name is acceptable.)


NOTICE: PLEASE READ THE TERMS BELOW, AND THEN SCROLL TO BOTTOM TO SUBMIT YOUR REQUEST

ADDITIONAL CONTRACT TERMS

NATURE OF THIS AGREEMENT: I understand that this is a lease contract. Horn Hospital, L.L.C. is legally required to provide the disclosures of this contract.

SECURITY INTEREST: I understand and agree that title to the instrument does and shall remain with Horn Hospital, L.L.C., which has security interest therein. I agree not to sell, mortgage, remove from the state, or otherwise dispose of this instrument.

Leased instruments remain the property of Horn Hospital, L.L.C. and are not affected by bankruptcy regulations.

LATE PAYMENTS AND DEFAULT: I agree to pay the late charge shown on the front if Horn Hospital, L.L.C. does not receive a payment by the due date. Horn Hospital, L.L.C. can terminate this contract if I do not make any payment within 30 days after the due date. If Horn Hospital, L.L.C. does terminate the contract, I must return the instrument immediately. If I do not return the instrument, Horn Hospital, L.L.C. can take possession of the instrument wherever found, if Horn Hospital, L.L.C. does so peacefully and lawfully. On any account 30 days or more past due, I will be liable for the entire value of the instrument including all reasonable legal and collection fees.

DAMAGE AND REPLACEMENT (D&R) COVERAGE: While you are leasing this instrument covered by this agreement, and have selected the D&R option we will do any necessary repairs to keep this instrument in proper playing condition. D&R coverage does not include restoration of finishes or replacement of expendable items such as reeds, straps, lubricants, strings, etc. Damage from deliberate abuse or neglect is not covered.

While you are leasing this instrument (and have elected the D&R option) and payments are current, in the event of loss by theft or fire (substantiated by a police or fire report in the event of theft or fire), the instrument will be replaced with a like condition instrument. This agreement covers the instrument and case only. No coverage is provided for personal items that were in or with the instrument or case. If the instrument was stolen or destroyed in a fire, you must provide Horn Hospital, L.L.C. a copy of the police or fire report within 15 days of the incident.

PURCHASE OPTION: At the time of purchase, lease payments may not be applied towards a different "type" instrument (i.e. trumpet for sax or violin for flute, etc.). 100% of lease credits, less sales tax and damage and replacement coverage charges, will be applied to the purchase of a new, rental return or used instrument in Horn Hospital, L.L.C. stock, as long as the instrument returned which is the subject of this agreement, is in acceptable condition to Horn Hospital, L.L.C. The purchase price is based on the manufacturer's suggested retail price at the time of purchase. I must exercise my purchase option within 30 days of the last due date of the last scheduled payment. If the price of the final instrument selected is less than the lease fee credits accumulated, no refund will be paid on the difference.

RETURNED PAYMENT FEE: We will add a $50.00 fee when a credit/debit card or check is not honored because it cannot be processed or when an automatic credit/debit is returned unpaid. At our option, we will assess this fee the first time your payment is not honored, even if it is honored upon resubmission.

RETURN PROCEDURES: Horn Hospital, L.L.C. must be contacted by email to hornhospitalcontracts@gmail.com to request an instrument return. Upon receipt of request, Horn Hospital, L.L.C. will provide a date and a location for pick up of the instrument. Instrument must be at specified location prior to the specified date in order to be picked up for return.

NOTIFICATION: I agree to notify Horn Hospital, L.L.C. within fifteen days in the event that my telephone number or address changes from that listed on the contract.

INSTRUMENT EXCHANGE: During the terms of this contract as long as payments are current, this instrument listed on this contract may be exchanged for another instrument and all lease payments will apply in full to the new instrument, provided the instrument being returned is in the same condition as when first leased by me, and the new contract is for the same student.

AUTHORIZATION TO RELEASE INFORMATION: I recognize that it may be necessary from time to time for Horn Hospital, L.L.C. to contact me regarding the instrument and desire information regarding my address and telephone number to be furnished to Horn Hospital, L.L.C. I hereby expressly authorize any principal, teacher or other school official to furnish and release to Horn Hospital, L.L.C. any information in his or her or in the school's possession or records, which may be pertinent in locating or contacting a current or former student or me. A photocopy of this authorization shall be as valid as the original. I hereby release any person providing such information to Horn Hospital, L.L.C. upon presentation of this authorization, from any claims for or in connection with confidentiality of records or any other matter. I also authorize Horn Hospital, L.L.C. to obtain a credit report from a credit-reporting agency to establish, maintain and collect on my account.

GENERAL: This contract contains the entire understanding between me and Horn Hospital, L.L.C. The only way it can be changed is by a new contract signed by me and accepted by Horn Hospital, L.L.C. Horn Hospital, L.L.C. signature is not necessary to make this contract enforceable.

NOTICE TO THE BUYER
(1) DO NOT SIGN THIS AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK SPACES.
(2) YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THIS AGREEMENT.
(3) UNDER THE LAW, YOU HAVE THE RIGHT TO PAY OFF IN ADVANCE THE FULL AMOUNT DUE AND UNDER CERTAIN CONDITIONS TO OBTAIN A PARTIAL REFUND OF THE SERVICE CHARGE.
NOTICE
ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNT PAID BY THE DEBTOR HEREUNDER.

PRINT THIS PAGE FOR YOUR RECORDS BEFORE YOU CLICK ON THE BUTTON BELOW


Back to Horn Hospital, L.L.C. Home Page