Order Form - READ TERMS FIRST

Old Town Station, Ltd. Order Form

A signed copy of this form or an FFL must accompany all first time orders.

PRINT OUT, SIGN, MAIL to PO Box 14040, Lenexa KS 66285

All sales made only on TERMS listed at ArmchairGunShow.com website & in the print Dispatch catalog. All guns are sold as collectibles only and are NOT warranted for shooting. All firearms laws must be complied with.

INTERNET ORDERS MUST SEND A SIGNED COPY OF THIS FORM

PLUS

Signed FFL (modern guns) – or – PHOTOCOPY OF DRIVERS LICENSE (antq’s)

I have read & agree to the terms at the www.armchairgunshow.com website, and as published in the Old Town Station Dispatch. I certify that I am legally eligible to own firearms, and am over 20 years of age. I am not a convicted felon, fugitive from justice, illegal alien, drug addict, alcoholic, or mentally defective individual. My purchases from Old Town Station, Ltd., will be in compliance with all applicable state and local laws & regulations in my home area.

SIGNED: ______________________________ Date __________

CALL FIRST TO CHECK AVAILABILITY 913-492-3000

Name ___________________________________ Phone ____________________

Shipping address ________________________________________________________

shipping city, state, & zip _________________________________________________

Mailing address (credit card billing address) ___________________________________

mailing/billing city, state & zip _____________________________________________

Item # Description Price Shipping Total

SUBSCRIPTION TO SNAIL MAIL OLD TOWN STATION DISPATCH

____ Subscription $35 _____ International $50 ____ Single issue $10

Book – STANDARD CATALOG OF S&W, 2nd Ed. – by Jim Supica & Richard Nahas

—— $35 US, ppd (signed by Jim) _____ $50 International

Visa or MC number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp ______

Return w/ payment, FFL if modern gun, or copy of drivers license if antique, to:

OLD TOWN STATION, LTD, PO Box 14040, Lenexa KS 66285

Phone 913-492-3000 fax 913-492-3022

Sales made only on TERMS listed on this website.

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