Customer Information
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First Name
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Last Name
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Street Address
Street Address Line 2
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Model Information
Describe Your Pistol
Model
*
Please Select
HD C4X
HD C3.6
HD P4
HD P4.5
Staccato CS
Staccato C DPO
Staccato C2 Tactical DPO
Staccato C2 Carry DPO
Staccato P 4.45 DPO
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Staccato XC
Prefix Serial Number
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C4X
C36
P4
P45
C221
C222
C24
CS23
CS24
P21
P22
XC22
XL22
N/A
Serial Number
*
Serial Number - Prefix Not listed
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Full Serial Number Prefix and Space Included
Caliber
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Please Select
9mm
40 S&W
Lubrication Used
Round Count Total
Round Count Since Last Service
Ammunition Being Used
Check to confirm the Pistol does not have Aftermarket Parts
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Serial Number
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