KOSCIELSKI'S & K.G.S. 2926 CHICAGO AVE, S. MPLS, MN. 55407
M-F 11-6PM SAT: 11-3pm
Please copy and paste in New Microsoft Word Document and print out.
Please provide a good ship to address (No P.O. Boxes, or Rural Routes)
ORDER FORM ONLY
NAME_____________________________________
ADDRESS_________________________________
CITY______________________________________
STATE____________________________________
ZIP CODE_________________________________
E-MAIL___________________________________
PHONE___________________________________
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HANDGUN UPPER: MAKE:_______________ MODEL_______________
1ST COLOR_______________________________$65.00
HANDGUN LOWER: MAKE:_________________ MODEL_______________SER#________________
1ST COLOR________________________________$65.00
Semi Auto Handgun Upper and Lower One Color. $ 105.00
COLOR_________________________________________
Semi Auto Handgun Upper and Lower Two Color. $ 105.00
1STUpper COLOR________________________________
2nd Lower COLOR_______________________________
Tiger Stripe Semi Auto Handgun Upper Slide Two Color Only. $95.00
1ST COLOR________________________________________
2nd COLOR________________________________________
Tiger Stripe Semi Auto Handgun Lower Receiver Two Color Only. $125.00
1ST COLOR__________________________
2ND COLOR___________________________
Tiger Stripe Semi Auto Handgun Upper Slide and Lower Receiver Two Color $225.00
1ST COLOR_____________________________
2ND COLOR_____________________________
AR-15 Buttstock, Forend and Grip One Color $135.00
Color__________________________________
AR-15 Buttstock, Forend and Grip "Tiger Stripe" Two Color $300.00
1st Color________________________________
2nd Color________________________________
PLEASE STRIP YOUR LOWER RECEIVER BEFORE SHIPPING
PLEASE PUT ANY PARTS IN A ZIP LOCK BAG, THAT YOU WISH TO DUAL-COAT.
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Sub Total |
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Shipping & Handling $: |
19.95 |
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Only MN. Resident |
Minn. sale tax .0775% |
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Total $: |
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PLEASE SEND CHECK OR MONEY ORDER ONLY.
IT WILL TAKE ANYWHERE FROM 4 TO 7 WEEKS.