BEFORE YOU SEND US YOUR FIREARM, PLEASE COMPLETE THIS FORM.(A copy will be emailed to you and us. No authorization is needed from us) Name *Email *Phone *Address *City *State *SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip *Make & Model of Your Firearm *What type of work are you needing done? *RestorationRepairRestoration and RepairDescribe the Work *Provide details regarding the work you're needing us to do on your firearm. What kind of restoration (i.e., re-blue, re-nickel, etc.) are you wanting done? If your firearm is in need of repair, please include details of what problems you are having.Tell us about your firearm *Is it a Family Heirloom, Investment gun, Re-sale gun, Shooter, etc.CommentsWould you like us to do a detailed evaluation of your colt revolver? (The cost is $49.95) *YesNoNot Applicable (I am not sending a Colt revolver)More Information on Colt Revolver EvaluationI'm Shipping My Firearm To You... *Myself (Please include a legible copy of your driver's license in with the firearm)Through a dealer (FFL) Submit