To mail your order: please review the order info by clicking here then return to this page to print this form. After your selections have been made & this form is complete, mail it with your credit card information, check or money order to: |
| SOLD TO
Name:__________________________________________________ Address:________________________________________________ City:___________________________________________________ State & Zip:_____________________________________________ (We must have a daytime phone number if questions arise) Telephone Number:______________________________________ |
Please write in special instructions & upgrade details here. Don't forget to let us know if this product should be right or left handed. If more room is needed, use the back of this form. |
| Product name & item# |
Qty. | Item Description & Size | Color | Gun brand, model, caliber & barrel length |
Price Each | Total Price |
| Payment Method | Merchandise | Subtotal |
| Please enclose your credit card, check or money order information as indicated below. Enclosed is a check in the amount of $____________ Enclosed is a money order in the amount of $____________ I am paying by credit card: Card Type:______________________________________________ Name as it appears on card:________________________________ Card Number____________________________________________ Expiration Date_____________________ Daytime Telephone Number____________________________ (Credit card orders will not be processed w/o a phone #) _____________________________________ Name:__________________________________________________ Address:________________________________________________ City:___________________________________________________ State & Zip:_____________________________________________ |
Upgrade Pricing
(optional) |
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Shipping & Handling |
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Insurance(Optional) $00.50 per $100.00 or fraction |
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8.25%
Sales Tax |
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| Total |