Hire request form

Please fill in this form and then click on the button at the bottom of the page marked 'Click here to print form'. The information that you have input will be dropped into a copy of the agreement and two copies will be printed. Keep one of these for your records. The other copy must be signed and posted to us (along with two forms of identification which show your current address - driving licence, utility bill etc.). We are happy to accept photocopies. Please do not send us originals of sensitive documents like birth certificates etc.

Please post the completed form and identification to - John Packer Ltd, Rental Scheme Department, 141 Staplegrove Road, Taunton, Somerset. TA2 6AF

Fields marked * are required information

Payment Details

Card Type *

Card Number *

Security Number *

Start Date

Expiry Date *

Issue Number

Bank/Building Society Details

Bank Name *

Address 1 *

Address 2

Town *

County

Post Code *

Sort Code *

Account Name *

Account Number *

Personal Details

First name *

Surname name *

Daytime tel *

Evening tel *

Mobile tel *

Email *

School

Address Details

Address 1 *

Address 2 *

Town *

County

Post Code *

Instrument Details

Instrument *

Teacher Name

We require two forms of identification showing your current address (driving licence, utility bill etc.) - photocopies are fine. Please send these as soon as you have filled in, and sent us this form.

Identification Details

Identification 1 *

Identification 2 *

Woodwind and Brass Specialists

Hire request form