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SHOTGUN ORDER FORM Please print and mail with payment, or fax.

DATE: ______________________
NUMBER:___________________

 

ORDER FROM:

NAME:  
ADDRESS:  
PHONE:  

 

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_____________________
_____________________
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SHIP TO:

NAME:  
ADDRESS:  
PHONE:  

 

_____________________
_____________________
_____________________
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CUSTOM ORDER FOR: __________________________________________________________

MAKE: _______________________ MODEL: ________________________ GAUGE: ________

BARRELS:
1st  Set:   Length: ___________  Chamber: __________ Chokes: Rt./U ___________ Lt./O ___________
2nd Set:  Length: ___________   Chamber: __________ Chokes: Rt./U ___________ Lt./O ___________

TOP RIB:
Smooth Concave ______ Matted Concave ______ Level Filecut ______ Solid ______ Ventilated ______

ACTION:
Finish: Casecolor ____________________  Coin _________________
Triggers: Double _____________ Single ____________ Single Selective ___________
Safety: Automatic _______________ Non-Automatic _____________ Extra Springs & Pins __________
Locks:    Detachable _________________ Slotted Screws _____________ Other __________________

STOCK & FOREARM:
Type of Stock ______________________
Type of Forearm ____________________
Type of Stock Finish _________________
Type of Butt _______________________
Type of Checkering __________________
Wood Upgrade _____________________
Stock Oval ________________________

STOCK DIMENSIONS:
Right/Left Hand Shooter ________________
Drop @ Comb _______________________
Drop @ Heel _______________________
Length of Pull ________________________
Cast @ Heel _________ @ Toe _________
Pitch _______________________________
Gold Crest __________________________
Desired Weight: _______   Trunk Case: Maker Furnished & Labled ________   Other ______________

ADDITIONAL COMMENTS: ____________________________________________________________
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