Paducah Shooters Supply Repair Form

Gun Make & Model:   Serial Number:  
Your Name:   Date of Purchase:  
Address  (No PO Boxes):  
City:  State:  Zip: 
Phone (Daytime):  Alternate Phone : 
E-mail Address: 
Please describe your problem in as much detail as you can:

WARNING: DO NOT SEND LIVE OR SPENT SHELLS IN YOUR FIREARM OR IN THE SAME BOX WITH THE FIREARM. THIS IS A VIOLATION OF FEDERAL LAW. IF YOU FEEL YOU MUST SEND SPENT SHELLS PLEASE SEND THEM IN A SEPARATE PACKAGE AND INCLUDE NAME, ADDRESS (WITH ZIP CODE), TELEPHONE AND MODEL AND SERIAL NUMBER OF YOUR FIREARM.

Record the serial number of your firearm before sending it.
Pack your firearm for safety and to prevent further damage in shipping and handling.       Preferably, ship in a firearm box. (Note: Original boxes may not be returned.)
Remove all accessories from your firearm to prevent loss or damage.
Ship your firearm by either UPS, Federal Express or US Mail. We are not responsible for damage or loss during shipment, so you may elect to purchase insurance from your carrier.

Please Print & Enclose This Form With Your Gun When Shipping.