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:____________________________________________________________________________________
Height and weight of shooter (Optional): ____________________________________________________________
Type of ammunition used:__________________________________________________________________________
Description of your problem: _______________________________________________________________________
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In instances where we test-fire your firearm, do you wish to have it cleaned after testing?
Please circle your response: Yes No

To prevent damage, please ensure that you package your firearm well when you ship it. Please include any magazines that you were using with your firearm.

In states that require us to return a firearm via an in-state FFL, Beretta will not reimburse any fees associated with the transaction. We recommend that residents of NY, NJ, and CT ship their handguns for service via their local dealer. CT residents should ship long guns via their local dealer as well.

Please include this form with your firearm.