Order Form
Please print this form, fill it out, and send it along with your check or Money Order to:
Nonneman Custom Rifles
RR2  Box 92
Grant City, MO 64456

Date ________________

Customer Name __________________________

Address ________________________________

City ______________________ State __________ Zip ___________

Phone Number -  Home ______________________  Work _________________

Serial # of gun sent _________________________________

Type of gun sent ___________________________________

Conversion work to be done _______________________________________________________________

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Caliber Desired ___________________________

Barrel length preferred _______________________________________

Finish desired:  Blued only ____________  Stainless ____________  Other ____________________

Special Instructions (please be as specific as possible) ____________________________________________

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Please be specific in filling out the above form as completely as possible in order to assist in processing your order quickly and correctly.Thank you.

TOTAL COST OF CONVERSION:

$______________________
LESS 50% ORDER DEPOSIT 
 (must accompany order) $ _____________
BALANCE DUE UPON COMPLETION OF WORK    $ _____________
(no orders will be shipped until payment in full has been received) 

I authorize above work to be done and agree to the terms required by NONNEMAN Custom Rifles.

Signature ____________________________________________