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Order Form
Knesek Guns, Inc.
1204 Knesek Lane
Van Buren, AR 72956
Phone: (479)474-1680
Fax: (479)471-0377
Customer Information:  
First Name Last Name
Address
City State Zip Code Country
Phone Fax E-mail Region
Credit Card Information(OPTIONAL)
Name on Card Type of Card
Card Number Expiration Date
CAVV Code
Product Quantity Description Price
    7% AR Tax =
    Payment Processing Fee =
    Shipping and Handling=
    Total Price=
Transfer Dealer Name:
Comments/Special Request:

Signature ____________________________    Date_________________

A 10% deposit is required on all orders. Deposits will not be refundable or exchangable. Please be sure that your order is correct before submitting.

© 2003, Knesek Guns, Inc.