Home of Rossi 92' Specialist

WORK REQUEST CALENDER DATE PRINT OUT

MAIL TO:

Steve Young
4525 Alamosa St.
Port Arthur, TX 77642
(409) 984-5473

PRINT OUT, COMPLETE AND INCLUDE IN SHIPMENT:

PLEASE INCLUDE $30 S&H FOR RETURN SHIPPING IN YOUR CHECK OR MO
     $12 for each additional gun.

REAL NAME________________________________________________________ Required

EMAIL ADDRESS____________________________________________________ Required

SASS ALIAS_______________________________________________________

ADDRESS__________________________________________________________ Required

CITY___________________________________STATE________ZIP__________ Required

RETURN SHIPPING TO A RESIDENCE?   Yes___       No___    Required

TELEPHONE NUMBER:__________________________________________________ Required

WORK REQUESTED:____________________________________________________ Required

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