Print out this form, fill it out Mail to adress below
Name:________________________________________________________
Address: ____________________________________________________Phone (daytime):___________________________________________
E-Mail Address:__________________________________
Make of Firearm:____________________________________
Model Number:____________________________________
Year of Manufacture (if known):__________________
Caliber or Gauge:________________________________
Factory Part Number (if known):_____________________________
Specific Part Description: You can also use this space for
additional
comments
Thank you
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