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♦ = Required field
Title:
Mr. |
Mrs. |
Ms.
Owner's Name:
♦
E-Mail:
♦
Mailing Address:
♦
City:
♦
State / Province:
♦
Postal Code:
♦
Country:
♦
Type of Firearm:
Model:
♦
Caliber:
Serial#:
♦
Date Purchased:
♦
Where Purchased:
Dealer's name:
♦
Address:
City:
♦
State / Province:
♦
Postal Code:
Phone Number:
Type of Store:
Firearm Retailer |
Sporting Goods |
Hardware |
Dept. Store |
Other
Primary Use of Firearm:
Personal Protection |
Hunting |
Law Enforcement |
Target
What Influenced Purchase:
Advertising |
Personal Recommendation |
Store Salesman |
Magazine Article |
Price
Your message:
Optional:
Age:
21-26 |
27-35 |
36-45 |
46-55 |
over 55
Home:
Own |
Rent
Income:
$10,000-20,000 |
$20,000-30,000 |
$30,000-40,000 |
$40,000-50,000 |
$50,000+
Education:
Some High School |
High School Grad. |
Some College |
College Degree
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Contact us
Kahr Arms
: 130 Goddard Memorial Drive, Worcester, MA 01603
Sales Support & Service
: 508-795-3919