--------------------> Download PDF Easy Order Form here <--------------------
Serious Shooters Ltd
555 Great South Road, Penrose, Auckland, New Zealand.
Phone: 64-9-579-3006 Fax: 64-9-579-2506
Email: serious.shooters@xtra.co.nz
Easy Order Form
Please Note: The Firearms Amendment Act 1992 requires that all mail orders for Firearms andAmmunition be accompanied
by an Authorization signed by a member of the Police. Reloading components do not require Police authorization.
Name: .................................................................................... Date: ...................................
Delivery Address: .................................................................................................................
..............................................................................................................................................
Phone # : Day: .............................. Mob # : .............................. Fax # : ..............................
ITEMS ORDERED:
Code
Description
Quantity Unit Price Total
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......... ............................................................................ ........... .............. ...................
......... ............................................................................ ........... .............. ...................
......... ............................................................................ ........... .............. ...................
Freight (at cost) : .............................
TOTAL : ...........................................
Please charge my: Visa / Mastercard
Card Number: .................... / .................... / .................... / ....................
Expiry date: ............... / ............... Signature: ......................................
POLICE OFFICER TO SIGN FOR AMMUNITION AND / OR FIREARMS.
I have inspected the purchasers firearms licence, ( #: ..........................) and am satisfied that
the purchaser is a fit and proper person to purchase ammunition and or firearms.
MEMBER OF POLICE
SIGNED: ..................................................... BADGE: ............................ OFFICIAL POLICE STAMP:
