Subscription Order Form

YOUR VISA

MASTERCARD
ACCEPTED

- Ads may be mailed, phoned or faxed -

The Single Shot Exchange
P. O. Box 1055
York, South Carolina 29745
Phone/Fax (803) 628-5326
Foreign Orders Via Air Mail - Canada & Mexico $45 US funds
Overseas $65 US funds

Please enter my subscription for:
For first class mailing (in US only) add $17.50/yr and check this box ....
Last Name
First Name

Street Address (for mailing)

Apt.
City
State

Zip or Postal Code
Country
Telephone
Check here if this is a RENEWAL
Billing Information
Credit Card
Card Number
Expiration Date
If billing address is different from above please enter billing information here:
Last Name

First Name
Street Address
Apt.
City
State

Zip or Postal Code
Country
Telephone
Tell us a little bit about yourself: (optional)
I am a ............ Collector Shooter Dealer Gunsmith
Member of: NRA ASSRA NMLRA
My area(s) of interest.................... Muzzle Loaders U. S. Martial Weapons
American Single Shots European Single Shots Winchesters, all types

TO ORDER ANY OF THE EXCHANGE BOOKS, PLEASE GO TO THE EMPORIUM!