GARY REEDER CUSTOM GUNS
2710 N. Steve's Blvd. Ste. 22
Flagstaff, AZ 86004
(520) 526-4100

Order Form
Print this page - Fill it out completely and mail in with your payment

Name _______________________________

Address _____________________________

City_____________________  State ____________  Zip Code ___________________

Phone ____________________________________________

Series of gun ___________________________  (if no series, "custom Ruger")

Caliber ________________________   Barrel Length __________________________

Sights (mark one)
Standard Ramp with white outline rear
Gold bead with V rear                                                                                        

GRIP STYLE (mark one)
Birdshead (Tombstone Classic Style)
Gunfighter Grip
Gambler's Grip (Doc Holliday Style)
Standard Factory

GRIPS (mark one)
Laminated Walnut, Cherry, or Ironwood
Black Micarta
Ivory Micarta
polymers .. white pearl... black pearl ... simulated ivory

Do you want your name or cowboy handle engraved on the gun?  If so, print it below:

Heavy Duty base pin? (cylinder pin)  We use Belt Mountain  - (mark one) - YES   NO    

FINISH (mark one)

Fire Blue/Small Parts
Stainless. High Polish
Stainless. Vapor Honed
Black Chromex. High Polish
Black Chromex. Vapor Honed satin black
Two-toned.  Specify below:

Special Engraving. Full engraving with standard swirls and vine is no extra charge.  Special engraving such as group logos, special badges, presentation wording, or any special engraving costs a bit more.  Show special engraving below or enclose your logos etc.

Porting or Muzzle Brake  (mark one) - YES  NO

To be built on your gun?  (mark one) - YES   NO   If on your gun, list the
serial number _____________________________

Deposit _______________________________

Credit Card Number (if applicable) _______________________________________________________  expiration date _______________

We try to deliver your custom gun in the time frame listed on our web site, but due to shortages or backorders from various suppliers such as grip makers, steel suppliers, engraving templates and many others upon which we have no control, we may from time to time go over the expected time period. We hope you will understand this and be flexible. If you have to have the gun by a certain date for a hunt or special event make sure and let us know at the time of the order

Your Signature ______________________________   Date ________________