Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Service Required *

Choose Services Needed:

Pin & Weld $75

Install Pinned Gas Block $50

Remove Existing Pin & Weld $75

Non-Drilled Muzzle Device $25

Muzzle Device Timing

Choose One:

Neutral Timing

Right Hand Shooter

Left Hand Shooter

Return Shipping *

Choose one or more: *** if additional Insurance is needed please add value in the notes

Return Shipping (Cost To Be Determined)

Add Insurance (Add Amount to be Insured in Additional Notes)

Add Signature Confirmation $5

Return Shipping Label Provided