Calico Magazine Repair Form
updated May 11, 2013
(please use a separate form for each magazine sent)
[
see notes, privacy policy, contact info at bottom of form]

(TIP: to print just page 1 of form, set browser to smaller or smallest font)

Enclose form with your well-packed, magazine & prepayment to:

William E Miller
110 Groce Rd.
LaFayette, GA 30728

SHIPPING & INSURANCE: Insurance is recommended. Sender is responsible for uninsured damage. Use a sturdy box with at least 1" of bubbles, foam, etc. surrounding packed magazine. Magazines are returned via Priority Mail unless you request another method. Charges may apply.

PLEASE PRINT CLEARLY
(we do not share customer information)

Name __________________________________

Address ________________________________

City ___________________________________

State ____________________ ZIP __________

E-Mail*_________________________________

Phone*_________________________________

* needed only if we need to contact you about your repair

Magazine type (please check one)
  • 100-round .22LR
  • 50-round 9mm
  • 100-round 9mm

Calico model (please check one)

.22lr models
  • M-100
  • M-100FS
  • M-100P
  • M-100S
  • M-105
  • M-110
  • M-111
  • other______
9mm models
  • M-900
  • M-950
  • M-951
  • M-960
  • Liberty I
  • Liberty II
  • Liberty III
  • other______

Other brand & model_________________

How did you hear about this service?
  • friend
  • GunList magazine ad
  • GunFax.com
  • GunFax newsletter
  • other _____________________________
  • while searching online for
    (please choose one)
    __Calico stuff
    __other (specify) ___________________

Problem(s) with your magazine

_______________________________________

_______________________________________

_______________________________________

$75-95 prepayment via: __check __money order

To pay by credit card, debit card, or PayPal, check your choice below, send your unit with this form (but without payment), then we will e-mail you a payment form or invoice.

I want to pay by (check one): __credit / debit card __PayPal

PayPal e-mail _____________________________________________________________________

Signature (required)_________________________________________________ date ________
"My use of this repair service and/or my signature above is indication of my agreement to the terms of service and my affirmation that: I am a US resident 21 years old or older; I am not prohibited by law from possessing or receiving such magazines in the City and/or State listed in the 'Ship To' address provided above; and I understand there will be a return shipping charge even if a repair is declined."

e-mail | www.gunfax.com | Calico fan site

NOTE: We can return magazines to any State except California*, Hawaii, Maryland, Massachusetts, New Jersey or New York due to bans (infringements) in these States. Also, there are some cities in Illinois to which we cannot ship magazines. Check your State & local laws first!

NOTE: If your prepayment exceeds final repair cost, the excess will be refunded when the magazine is returned. If your prepayment is less than the final repair cost, you will be billed or notified, depending on the cost. Repair charges must generally be paid prior to return shipping.

* Residents of California must send their magazines for repair only through a local gun dealer who has a special permit to handle "high-capacity magazines".

PRIVACY POLICY: WE DO NOT SHARE CUSTOMER INFORMATION

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