Installation Order Form
Nitram, LLC
322 North Military Rd
Fond du Lac, WI 54935
Toll Free: 1-866-609-5874
Phone: 920-929-0667
Fax: 920-929-0670

 

Date:_______________ Account #:___________________
Company Name:___________________________________
First Name:_______________ Last Name:______________
Address:__________________________________________
City:_____________________ State:______ Zip:_________
Phone Number:____________________________________

 
PLEASE INSTALL:
 
___ Ventilated Choke #900001
___ Standard Choke #900002
___ Ventilated Rib #900020
___ International Rib (top only) #900035
___ Double International Rib (top and bottom) #900030
Gun Brand __________________
Gun Model # __________________
Gun Gauge __________________

OVERALL FINISHED DESIRED LENGTH:_____________ Inches
Please Note: if overall length is not specified, barrel will be finished to same overall length as received.
**Barrels With a Ventilated Rib: Please indicate whether customer will accept the length longer or shorter of desired length. We must back up to closest rib support post.

For rib installation, complete gun is needed to insure alignment of barrel and receiver.

For choke installation, we only need your barrel shipped if we have an action for your gun. Popular guns we have are Remington models 11, 1100, 1148, 17, 58, 870, Winchester models 12, 40, 50, 59, 97, 1200, 1300, 1400, SuperX-1, Ithaca models 37, Browning models A-5, Double Auto, 2000, and others. Please call to confirm or we will need complete gun to test fire.

COLOR OF FRONT SITE:
___ Gold
___ Ivory
___ Red
___ Sunspot (orange)
___ Fiber Optic orange
___ Fiber Optic green

VENTILATED RIB INSTALLATION:
COLOR OF MID RIB BEAD:
___ Gold
___ Ivory
___ Silver

Postage: All shipments are F.O.B. Fond du Lac, WI 54935. Please add Shipping and Handling Charge of $15.00 for single barrel, $20.00 for complete gun. Alaska and Hawaii, add $21.00 for single barrel and $28.00 for complete gun.
Note: Non-take-down barrel, extra $25.00.
Payment by check or credit card. Check made out to: Poly-Choke
Credit card transactions will be done over the telephone to insure security.