Download or print this form, complete and sign, and mail to Corbin in order to be listed as a custom bullet maker. If you are already listed, you can request changes by e-mail. We will need to confirm any substantial changes with the person signing the original consent form.
CUSTOM BULLET MAKER Listing Consent Form ************************* By signing and returning this form with the requested information, the custom bullet maker gives Corbin Manufacturing & Supply, Inc., permission to publicly list this information on Corbin's internet web page, to publish the information in Corbin's World Directory of Custom Bullet Makers print edition and digital publications, and to refer callers to the telephone, fax, e-mail, street address and any other listed information in response to inquiries about custom bullet orders. While every effort is made to accurately list the information, Corbin Manufacturing & Supply, Inc., and its officers and employees are not responsible for any liabilities arising from errors in or omissions from the list. The person giving consent to list agrees to send revised information in writing immediately in the event of changes or discontinuation of business. Only the person signing the form can authorize future changes. In the event of ownership changes, the listing will be changed by permission of the original owner. Agreed, by (authorized signature): ___________________________________________________ On this date: __________________________ LISTING INFORMATION: For digital listings, the following information is limited to the number of characters in parenthesis, and any longer response will be cut off at the character length indicated: FIRM NAME (30):________________________________________________ STREET OR PO BOX (30):_________________________________________ CITY (20):_______________________________ STATE OR PROVINCE ABBREVIATION (4):______ POSTAL CODE (10):______________ COUNTRY (20):____________________________ PERSON TO CONTACT (30):________________________________________ TELEPHONE (10): (___)___-____ FAX (10): (___)___-____ E-MAIL (30): __________________________________________________ WEB SITE (30):_________________________________________________ BULLET JACKETS OFFERED? (Yes/No): _____ LEAD WIRE OFFERED? (Yes/No): _____ BULLET DIAMETERS (up to 10, 3 digits each): ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
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