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Custom Bullet Makers page
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):

 	____  ____  ____  ____  ____  ____  ____  ____  ____  ____