Custom Rifles Order
Form
Name _________________________ Work Phone #
________________________
Address _______________________ Home Phone #
_______________________
C, St., Zip ___________________________ Fax #
_________________________
Custom
Rifle
Right Hand _____ Left Hand
_____
Series
Rifle
Right Hand _____ Left Hand
_____
Customer Action to be used: ADL/BDL ________________ SN _____________
Our Action to be used: ADL/BDL ____________________ SN
_____________
Action Stainless ________ Chrome Moly __________ Action
Length _________
Magazine: Blind ______ Hinged _______
Detachable _______
Trigger: Factory Adjusted _______ Factory Reworked
______ Custom ______
Trigger Pull Weight in Lbs. ________
Barrel Manufacturer ______________________________
Stainless Steel __________ Chrome Moly ___________
Caliber _______________
Barrel Contour _____________________
Rate of Twist ____________________
Barrel Length ____________________
Barrel Special Instructions _____________________________________________
Muzzle Brake ______ Contour ______ Special
Instructions __________________
Stock Manufacturer ___________________ Style
______________ Color ______
Length of Pull including Recoil Pad ______________
Metal Finish: Teflon Color ____ Beadblast ____ Stainless
_____ Gloss _____ Matte _____
Scope: Customers ____________________ Ours
________________________
Mounting System ________________________________
Dies: 2 Die Set _____________________ 3 Die
Set ____________________
Other Extras
_______________________________________________________
Date ____________ Customer Signature
______________________________
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