Hammerli Airguns - Midsouth Shooters Supply

Mail Orders To: Midsouth Shooters Supply, 770 Economy Dr, Clarksville, TN 37043Order Toll Free 1-800-272-3000 Fax 1-931-503-8037 Info. & Office 1-931-553-8651Customer Number:Name:Ship to Address:City:State:Zip: Fax #:Is this a Home OR BusinessSpecial Instructions:E-Mail:PREPAID - AMOUNT PREPAID $CARD NO.CVV CODECOD (FEE IS $9.00)EXPIRATION DATEVISA MASTER CARD DISCOVERCREDIT CARD BILLING: Please fill out if different than your shipping addressAddress Where Your CC is Billed:City State ZipHome PhoneWork PhoneSORRY - NO BUSINESS OR PERSONAL CHECKS!!!FOR DELIVERY IN THE UPPER 48 U.S. STATES, PLEASE CHECK WHICH MEANS OF DELIVERY YOU WANT US TO USE FOR SHIPPINGUPS GROUND UPS 3 DAY UPS 2 DAY UPS NEXT DAY PRIORITY MAIL FEDEX 2DAY FEDEX NEXT DAY FEDEX GROUNDALASKA and HAWAII: PRIORITY MAIL UPS 2 DAY FEDEX 2DAY INTERNATIONAL: INTL PRIORITY UPS FEDEXSee usps.com for ratesORDER NO. ITEM DESCRIPTION QTY. PRICE TOTALWould you like a Midsouth Catalog for yourself or a friend? () QTYExtra Order Forms? () QTYORDER INFORMATION: SORRY NO BUSINESS OR PERSONAL CHECKS ACCEPTED! All CODorders shipped UPS CASHIER CHECK or MONEY ORDER only! The COD fee is $9.00 per box.**PLEASE NOTE THE HAZARDOUS FEE FOR PRIMERS, POWDER AND PERCUSSION CAPS. Thisis $20.00 per package leaving our dock! (not per box of primers, etc.) Each box of powder is a separate$20.00($30.00 by Air) hazard fee, due to shipping regulations. We must have a copy of your driverslicense or FFL to ship any bullets, brass, primers, powder, ammo or percussion caps. MINIMUMORDERS $40.00 (*If less than $40.00 add a $5.00 service charge). Please estimate freight cost, if indoubt, add extra to the order and we will refund any excess promptly! Tennessee residents add 9.75%sales tax . (TN residents also pay a .10 TWRA Tax per box of ammunition)INTERNATIONAL CUSTOMER EXPORT RELEASE: (FOR INTERNATIONAL CUSTOMERS ONLY) Bysigning I accept and will follow all laws local, state and federal, pertaining to but not limited to exportinggoods outside the United States. I accept responsibility for all said laws and their penalties if and whengoods are exported outside the U.S. SIGNATURE REQUIRED (Please sign at lower right)Sales Tax - 9.5% (TN Residents Only)COD Fee $9.00 (If Not Pre-Paid)Freight (Estimate heavy, we’ll refund the balance)Service Charge* / HazMat Fee**Insurance ($1.55 UPS up to $300)($4.40 USPS up to $300)Total Amount$STATEMENT OF BUYER: By placing this order I understand that Midsouth Shooters Supply does notwarrant that I may legally purchase, transfer or possess airguns, ammunition, black powder supplies,knives, reloading components, firearm parts, slingshots or other items. I have checked my federal, stateand local laws, I am an adult (21 years of age or older), and I am not under any legal disability whichwould prohibit me from purchasing these items. SIGNATURE REQUIRED240Signature of Buyer / Cardholder (If Pre-Paid)Order Form 08-07