Printable Order Form -::- Huey Gun Cases and Accessories

Name________________________________________________________________________________

Shipping Address_______________________________________________________________________

City____________________________________________ State_________________ Zip_____________

Daytime Telephone_______________________ Email Address__________________________________

Fax Number_____________________________ Deposit $_____________________ Date____________

Type of Case (Check one)
Describe firearm(s) to be cased______________________________________________________
___Takedown trunk for single gun (number of barrels_______)
___Takedown trunk for pair of guns (number of barrels______)
___Motorcase
___Slant-front "Coffin" case
___Rifle case (__bolt removed and fitted,___bolt left in rifle, ___French-fitted,___pair)
___Oak & Leather Pistol case (number of pistols to be fitted___)
___Morocco leather Borchardt style case
___Cartridge magazine (bore/caliber and length of cartridges__________)
___Attache' case (interior length_______", width_______", depth________")

Case Options
___Standard ultra-suede with covered bevel-top portions (color______________)
___Ultra-suede lining with deluxe polished wood-top portions (color_______________)
___Brass Corners
___Canvas outer cover (color_____________)
___Custom leather binding (describe________________________________)

___Trade Label (maker_________________________) ___Wood frame surrounding label

___Fit rifle scope into seperate compartment

Fit Tools and Accessories
___Knob handled pistol turnscrews (size to order)
___London pattern shotgun and rifle turnscrews (size to order)
___Dust mop
___Rifle cleaning rod (.22 cal.___, .30 cal. & larger___)
___Shotgun chamber brush
___Brass shotgun cleaning rod
___Brass shotgun cleaning rod/chamber brush combination
___Pistol cleaning rod (length desired ________)
___Rosewood 2-pc leaning rod
___Round brass oil bottle
___Brass snap caps
___Brass Striker pot
___List and describe any other items you will supply to be fitted (use reverse side)

Shipping Instructions
Ship firearm in well-packed carton, fully insured to: Huey, 820 Indiana, Lawrence, Kansas, 66044. We recommend UPS or Federal Express overnight or second day. Always request a signed return receipt. Shipments of firearms by individuals to licensed dealers are permitted by Part 178.147 of the 1968 Gun Control Act. Our Federal Firearms license # is 3-43-049-01-4K-16570.

Insure gun and case for $_____________ upon return.
Ship via:_____UPS ground, ____UPS second day, _____UPS next day, _____Federal Express, _____U.S. Mail
For shipping purposes only, please provide a major credit card number with (expiration date), Federal Express or UPS shipping number_________________________________

Terms of Sale
Please remit 25% of the basic price with your order. When work has begun on your case we will call to advise you, and the balance should be remitted at that time.

PLEASE PRINT ANY SPECIAL INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM.

Ordering: To order, please print out and complete the order form and mail it to us. As our production is limited we usually work with an extended backorder list. As the time to build your case approaches I will need the firearm for a short time (usually about 30 days) for exact measurements and final custom fitting, This insures a snug, rattle-free fit, for which our cases our well known. The firearm will then be returned in your new case.