| Quantity | Model | Description / Options | Each | Total |
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| $ | ||||
| Please list additions or modifications to your handgun that you may feel are necessary for this order under description. | Total | |||
| Make |
DOMESTIC POSTAGE AND HANDLING:
Credit card orders must include the full name and address that is associated with the credit card used. If separate ship to address is preferred, make note on this order form, or on a separate sheet. |
Postage | ||
| Model | Total | |||
| Caliber | Recd | |||
| BBL Length | Bal. Due | |||
| Belt Width | Shipped | |||
| Belt Length | UPS | |||
| Color | ||||
| Right Hand | Order Number: | |||
| Left Hand | ||||
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__VISA __MASTERCARD
__DISCOVER Expiration Date (mm/dd/yy) Card Number: Card 3 digit security code |
NAME________________________________________________________ ADDRESS_____________________________________________________ CITY______________STATE_________ZIP CODE____________________ PHONE_______________________________________________________ |
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