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Service Request Order


Beretta USA Corp.
Service Request Order
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Date: __________________________________
Name: ___________________________________________________________________________________________
Street Address (No P.O. Boxes Please!): _______________________________________________________________
City: ____________________________________________________________________________________________
State: ___________________________________________________ Zip: ____________________________________
Telephone number where we can contact you: __________________________________________________________
e-mail address:_________________________________________________________________________________________
Type of ammunition used:____________________________________________________________________________
Description of your problem: _________________________________________________________________________
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To prevent damage, please ensure that you package your firearm well when you ship it.

Please include this form with your firearm.

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