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Please print form and include in box with brass |
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Conley Precision Cartridge Co. 207 E. Oak Ave Como, MS 38619 Phone: 662-526-5886 Fax 662-526-9228 |
| Name: |
| Street Address: |
| City State & Zip: |
| Phone Days: Date: |
| Phone Nights: e-mail: |
| Did you receive a discount quote__________ |
| Amount Enclosed | Cartridge | Bullet type to be loaded |
| You will be contacted upon receipt of package and order entered into system. |