GARY REEDER CUSTOM GUNS
2601 E. 7th Ave.
Flagstaff, AZ 86004
Telephone:
(928) 527-4100 Fax: (928)527-0840
gary@reedercustomguns.com
Order Form
Print this page - Fill it
out completely and mail in with your payment
Name _________________________________________________________________
Address _______________________________________________________________
City_____________________ State ____________ Zip Code ___________________
Phone ____________________________________________
Custom Series requested (i.e. El Diablo) ____________________________________ (if no series, "custom Ruger®")
Caliber ________________________ Barrel Length - Octagonal________________ Round__________________
Sights
(mark one)
Standard Ramp with white outline
rear
Gold bead or Red Fiber Optic or
Green Fiber Optic with V rear (circle one)
Free Wheel cylinder (circle one) YES NO Special Features (list here)
GRIP
STYLE (mark one)
Birdshead (Tombstone Classic Style)
Gunfighter Grip
Gambler's Grip (Doc Holliday Style)
Standard Factory
GRIPS
(mark one)
Laminated Walnut, Cherry, or Ironwood
Ivory Max
Other___________________________
Do you want your name or cowboy handle engraved on the gun? If so, print it below:
FINISH
(mark one)
Stainless. High Polish
Stainless. Vapor Honed
Black Chromex. High Polish
Black Chromex. Vapor Honed Satin Black
Two-toned. Specify below:
Special Engraving. Special engraving such as group logos, special badges, presentation wording, or any pictures or drawings you need engraved on the gun add $150 per scene or drawing. Show special engraving below or enclose your logos etc. Please list special engravings below.........
Porting
or Muzzle Brake
Magnaport $300 (mark one) - YES NO
Muzzle Brake $300 (mark one) - YES NO
To
be built on your gun? (mark one) - YES NO If on
your gun, list the
serial number _____________________________
Deposit _______________________________
Credit
Card Number (if applicable) ________________________________________________________________________ DEBIT / CREDIT
(circle one)
expiration date
_______________ 3-digit code ___ ___ ___
We try to deliver your custom gun in the time frame listed on our web site, but due to shortages or backorders from various suppliers such as grip makers, steel suppliers, engraving templates and many others upon which we have no control, we may from time to time go over the expected time period. We hope you will understand this and be flexible. If you have to have the gun by a certain date for a hunt or special event make sure and let us know at the time of the order. Any order cancelled will be subject to a 10% penalty and payment for any templates or engraving stencils.
Due to liability, the inner parts of your gun replaced during a conversion cannot be returned.
Your Signature ______________________________ Date ________________
Any post- order changes must be made in writing.