Order Form

Order Form
Please print this form, fill it out, and send it along with your check or Money Order to:
Nonneman Custom Rifles
RR2 Box 92
Grant City, MO 64456

Date ________________

Customer Name __________________________

Address ________________________________

City ______________________ State __________ Zip ___________

Phone Number - Home ______________________ Work _________________

Serial # of gun sent _________________________________

Type of gun sent ___________________________________

Conversion work to be done _______________________________________________________________

_____________________________________________________________________________________

Caliber Desired ___________________________

Barrel length preferred _______________________________________

Finish desired: Blued only ____________ Stainless ____________ Other ____________________

Special Instructions (please be as specific as possible) ____________________________________________

_____________________________________________________________________________________

Please be specific in filling out the above form as completely as possible in order to assist in processing your order quickly and correctly.Thank you.

TOTAL COST OF CONVERSION:

$______________________
LESS 50% ORDER DEPOSIT
(must accompany order) $ _____________
BALANCE DUE UPON COMPLETION OF WORK $ _____________
(no orders will be shipped until payment in full has been received)

I authorize above work to be done and agree to the terms required by NONNEMAN Custom Rifles.

Signature ____________________________________________