Customer Name
*
First Name
Last Name
Customer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Customer Email
*
example@example.com
Customer Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Notes
Requesting Member
*
Please Select
Cindy
Theresa
Leslie
Blake
Ricky
Ryan
Justice
Lily
Barry
John
Misty
James
Kelsy
Johnny
Whitney
Steven
Jonah
Brittany
Krystal
Natahja
George
Tommie
Travis
Brandon
Jeremy
Tara
Paige
Lainey
Leah
Joel
Joseph
Renata
Sam
Amanda
Michael
Brenna
Case Number
*
0012345 not 5003l00001T9tkwAAB
Model
*
Please Select
Staccato HD P4
Staccato HD P4.5
Staccato HD P4X
Staccato HD C3.6
Staccato HD C4X
Heritage P 4.15
Staccato CS
Staccato C DPO
Staccato C2 Iron Sight
Staccato C2 Tactical DPO
Staccato C2 Carry DPO
Staccato P 4.45 Iron Sight
Staccato P 4.45 DPO
Staccato XL Iron Sight
Staccato XL DPO
Staccato XC
Staccato R
Staccato C Iron Sight
Staccato P 4.15 Iron Sight
Staccato P 4.15 DUO
Staccato P5
DVC O
DVC S
DVC L
DVC P
DVC C
DVC C DUO
DVC 3
Combat Master
DVC Open
DVC Steel
DVC Limited
DVC Omni
DVC 3-GUN
DVC Carry
DVC Carry HOST
DVC Tactical
Tactical 4.15 Iron Sight
Tactical 4.15 HOST
Costa Carry Comp
Costa HOST
Costa VIP
Marauder
Shot Show Special
Edge
HOST DS 4.0
HOST DS 5.0
HAWK 5.0
Hex Tactical DS 3.0
Hex Tactical DS 4.0
Hex Tactical DS 5.0
Hush
Guardian DS
Executive
Apeiro
20th Anniversary Special Edition
100th Anniversary Special Edition DS
Eagle 6.0
Eagle 5.0
IPSC
Legend
Match Master
Steel Master
Perfect 10
Tactical 3.0
Tactical 4.0
Tactical 5.0
Total Eclipse
TruBor
Grandmaster
USPSA DS
VIP
Infinite
Tactical Lite 4.0
Tactical Lite 5.0
Viper
Competitor
Xcaliber .450+
Hornet
Stinger
Special Edition
Tactical DS Lite 4.0
Tactical DS TR Lite 4.0
LAPD Metro
LAPD KJC DPO
DVC Classic
Duty One 3
Duty One 4
Duty One 5
Duty One LT 3
Duty One LT 4
Duty One LT 5
100th Anniversary Special Edition SS
Hex Tactical SS 4.0
Hex Tactical SS 5.0
HOST SS 4.0
HOST SS 5.0
Guardian SS
Escort
Elektra
Nitro 10
Lawman 3.0
Lawman 4.0
Lawman 5.0
LS
BLS
Off Duty
Range Master
Ranger II
Sentinel Premier
Sentry
Shadow
Spartan III
Spartan IV
Spartan
Tactical SS 3.0
Tactical SS 4.0
Tactical SS 5.0
Target Master
Trojan 5.0
Trojan 6.0
USPSA SS
Hex Tactical SS 3.0
Rogue
GI
Spartan V
Trojan SS
Ranger
Trojan .40 Super
Wasp
Tactical SS TR 4.0
Tactical SS TR 5.0
Trojan Lite
GP6
GP6-C
GP5
Texican
Tactical 6.0
Serial Number
*
Parts Requested
*
Magazines
Magazine Parts
Magwell
Small Parts
Iron Sights
DPO System
Springs
Patches
Screws
Other
Magazines
Magazine Warranty Reason
Please Select
Failure to Lock Back
Customer Satisfaction
Blue Line Order
Missing Item
Capacity
Single Stack
Double Stack
Single Stack Caliber
Please Select
9mm
45acp
Double Stack Caliber
Please Select
9mm
40cal
45acp
9mm 8rd Single Stack Qty.
9mm 10rd Single Stack Qty.
45acp 8rd Single Stack Qty.
9x120mm Mag Qty.
9x120mm 10rd Mag Qty.
9x126mm Mag Qty.
9x140mm Mag Qty.
9x126mm 10rd Mag Qty.
9x126mm 15rd Mag Qty.
V3 15rd Mag Qty.
V3 17rd Mag Qty.
V3 10rd Compact Mag Qty.
V3 10rd Full Size Mag Qty.
V3 15rd Full Size Mag Qty.
10rd HD Mag Qty.
15rd HD Mag Qty.
18rd HD Mag Qty.
20rd HD Mag Qty.
23rd HD Mag Qty.
40x120mm Mag Qty.
40x126mm Mag Qty.
40x140mm Mag Qty.
40x170mm Mag Qty.
40x126mm 10rd Mag Qty.
45x120mm Mag Qty.
45x126mm Mag Qty.
45x140mm Mag Qty.
Magazine Parts
Magazine Parts Warranty Reason
Please Select
Failure to Lock Back
Broken
Customer Satisfaction
Missing Item
Magazine Follower Qty.
120mm - 126mm Dawson Basepad Qty.
140mm Dawson Basepad Qty.
9x120mm Mag Spring Qty.
9x126mm Mag Spring Qty.
9x140mm Mag Spring Qty.
16rd Conversion to 15rd
16rd Internals Kit
Small Parts
Small Parts Warranty Reason
Please Select
Loose
Broken in Shipment
Broken at Dealer
Missing Item
Customer Satisfaction
Trigger Guard Screws Qty.
Trigger Guard Sleeve Qty.
Upper Grip Screws Qty.
Grip Bushings Qty.
MSH Pin Qty.
Ejector 9mm Qty.
Ejector Roll Pins Qty.
DPO Systems
DPO System Warranty Reason
Please Select
Stripped Screws
Lost Screws
Missing Item
Blue Line Order
Customer Satisfaction
Leupold DPP Kit Qty.
Trijicon RMRcc Kit Qty.
Trijicon RMR/SRO Kit Qty.
Holosun 509T Kit Qty.
Holosun 507C/508T Kit Qty.
Holosun 507K Kit Qty.
Vortex Viper Kit Qty.
Aimpoint Acro Kit Qty.
Steiner MPS Kit Qty.
Eotech ELFX Kit Qty.
Holosun EPS Kit Qty.
Sig Romeo Zero / Shield / Jpoint Kit Qty.
Carry Cover Plate Qty.
Tactical Cover Plate Qty.
Magwells
Magwell Warranty Reason
Please Select
Replacing Tac Slim for LEO
Broken
Customer Satisfaction
Blue Line Order
Missing Item
Dawson Tac Adv Magwell – Gen 1 Qty.
Dawson Tac Adv Magwell – Gen 2 Qty.
Patches
Patches Warranty Reason
Please Select
Missing Item
Customer Satisfaction
PVC Patch C Qty.
PVC Patch C2 Qty.
PVC Patch P Qty.
PVC Patch XL Qty.
PVC Patch XC Qty.
Springs
Spring Warranty Reason
Please Select
Coil Bind
Missing Item
Customer Satisfaction
Spring Set for 4.4 Toolless Guide Rod Qty.
Iron Sights
Iron Sight Warranty Reason
Please Select
Loose
Broken
Missing Item
Customer Satisfaction
Carry DPO Front .130 Front Sight Qty.
Tactical DPO Front .285 Front Sight Qty.
Adjustable Rear Qty.
Screws
Screw Warranty Reason
Please Select
Stripped Screws
Missing Item
Customer Satisfaction
Screws
Parts Not Listed
Additional Parts
Owners Manual
SUBMIT
Should be Empty: