Model _____ Caliber ______ Right Hand [ ] Left Hand [ ] Length of Pull ______

Barrel Length ____ Barrel Contour ______ Stainless [ ] CM Steel [ ]

Stock Color _______________________ Finish: Matte [ ] Bright [ ] Ultra Coat [ ]

Trigger: Timney [ ] Jewell [ ] Scope Mounts: 1" [ ] 30mm [ ] Low [ ] High[ ]

Actions not available in stainless steel

Customer Information

Name ____________________________________________

Address __________________________________________

City _____________________ State/Province ______

Country __________________ Zip/Post Code ______

Phone: _________________ E-mail ________________

Dealer Information (Signed original copy of FFL is required for shipping)

Name ____________________________________________

Address __________________________________________

City _____________________ State/Province ______

Country __________________ Zip/Post Code ______

Phone: _________________ E-mail ________________

Method of Payment

Check [ ] Credit Card [ ]

Credit Card # ________________________ Exp. Date __________

Deposit (50% minimum) $___________

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