North American ArmsCustom Shop Upgrades and Repairs

Customer Information Form

Please print this form and include it with your NAA firearm when sending it in for upgradesand/or repairs. This will help us to serve you better and reduce the turn around time.

Firearm InformationModel/Type: Serial Number:

Description of Upgrade or Repairs Needed:

Return Shipping InformationMethod of Shipment: G UPS (Signature Required) to you (Mini-Revolver) $25.00

G UPS (Signature Required) to you (Guardian Pistol) $28.00G Priority Mail to an FFL Dealer (Mini-Revolver) $9.00G Priority Mail to an FFL Dealer (Guardian Pistol) $11.00G New Gun Warranty Repair - Manufactured less than two years ago, repairs only - No Charge

(Please add $3.00 for each additional gun, if sending multiple guns)(Please add $20.00 for firearms that need reassembly)

Ship To Name: Daytime Phone #:

Ship To Address:

City: State: Zip:

Email Address:

Payment InformationPay By: G Check/Money Order

G Please Invoice Me

Credit Card G Visa G Master Card G American Express

Name on Card:

Card Number: Exp Date:

Send this form and your firearm to: Attn: Customer ServiceNAA2150 S 950 E Provo, UT 84606