The Rifle Shoppe, Inc.

870740 S HWY 177 ~ Wellston, OK 74881 Monday -Thursday

(405) 356-2583 Tel. ~ (405) 356-9663 Fax10:00 am - 4:00 pm CST www.therifleshoppe.com Closed Friday’s for Shipping

Name: Date:

Address:

City: Daytime Phone: Fax:		State: E-Mail:		Evening Phone:	Zip:
Visa	MasterCard	Discover	American Express

Card Holder: Signature:

Office Use Only	Qty.	Item #	Description of Items	Item Price	Qty. Price
For shipments outside the USA, please contact us for a shipping quote. Prices subject to change, without notice. We ship at current prices!				Add ShippingMinimum $10.00 Shipping Total of Order