Personal Vibraphone Hire

Vibraphone Type*

First Name*

Last Name*

Home Delivery Address*

Suburb*

State*

Postcode*

City*

Please specify your town/city
Please first ensure you have contacted us (academy@nickparnell.com) to confirm we can deliver to you location.

Email*

Phone*

Date of Birth (applicants must be over 18 years of age)*

Who is your (or your child's) percussion teacher? If you are not taking lessons please enter NA.*

What school do you (or your child) attend? If not at school please enter NA.*

How did you hear about our vibraphone hire?*

Please specify
How did you hear about our vibraphone hire?

HIRE TERMS AND CONDITIONS
I agree to the Hire Terms and Conditions