AJC SPORT SHOP

For the security of your personal information, we ask that you fill in the following form if you would like to order firearms, ammunition, and/or other accessories found in the online catalog. If you have questions about the form call toll free 1-888-632-5382.

Fill out the following form, print it, and fax it to 979-265-0287 or mail it to:

AJC Sports Shop

723 South Main Ste. A

Clute, TX 77531

We accept cashier's checks, money order, Visa, Mastercard, American Express, and Discover (Credit Cards subject to 4% processing fee).

Name:
Shipping Address:
City:
State:
Zip:
Billing Address:
City:
State:
Zip:
FFL/Transfer Dealer Name:
Item Number
Manufacturer
Model
Barrel Length (in)
Gauge / Caliber
Finish and stock type (if applicable)
Price
Shipping: Handguns add $20 (for guns under $500) or add $25 dollars (for guns over $500), Long Guns add $20
Total

	Paying by Cashier's Check or Money Order
	Paying by Credit Card: Exp Date: AVS: (AVS Location)

By signing below, I confirm that all the information entered above is correct. I am also authorizing AJC to charge my credit card if I am paying by credit card. Credit cards (except special orders) are not charged until guns are shipped. Special orders must be paid in full, in advance and are non-returnable and non-refundable. NO EXCEPTIONS. I have also read and agreed to Terms and Conditions, which can be found here.

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Signature