MDFA Holsters Name________________________________Date_______________ Order #_____________________ Address____________________________________________ City ___________________ State_______ Zip______________ Telephone ( ) ____________________ Email_____________________________________________ Firearm Make ________________ Model _________ Barrel Length __________Caliber_____________ Right or Left Handed_______________ Belt width you will use____________ (Please measure if unsure). We strongly recommend using a quality Gun Belt, not a department store belt. OWB Holster__________ Straight Drop ________ Rearward Cant_____________ or Muzzle Forward Cant __________ IWB Holster: _________ (IWB Reaper Holsters are 2 leather belt loop mount only) (IWB Claymore is 1 or 2 Leather Loop mount) # of loops_____ (Magazine Pouches are made for the opposite side of the body of where you wear your firearm. Bullet nose forward.) Single Magazine___________ Double Magazine_________ 1 Magazine and a Flashlight ____________ 1911 Double Magazine and Flashlight __________ Holster Models: Reaper IWB/OWB (plain) Reaper IWB/OWB (patterned) $64.95 $69.95 # Ordered_______Color__________________ # Ordered_______Color__________________ Ladies DAO/OWB (plain) Ladies DAO/OWB (patterned) $64.95 $69.95 # Ordered______ Color__________________ # Ordered______ Color__________________ Claymore IWB (plain) Claymore IWB (patterned) $64.95 $69.95 # Ordered______ Color__________________ # Ordered______ Color__________________ Single Mag Pouch (plain) Single Mag Pouch (patterned) $24.95 $29.95 # Ordered________Color_________________ #Ordered________Color_________________ Double Mag Pouch (plain) Double Mag Pouch (patterned) $34.95 $39.95 # Ordered_______ Color_________________ # Ordered_______ Color_________________ Mag-Light Combo pouch (plain) Mag-Light Combo pouch (patterned) $34.95 $39.95 # Ordered________Color_________________ # Ordered_______ Color_________________ 1911 Double Mag-Light pouch (plain) $39.95 # Ordered_______ Color_________________ Magazine Pouches: 1911 Double Mag-Light pouch (patterned) $44.95 # Ordered_______ Color_________________ AR Mag Pouch (plain) AR Mag Pouch (patterned) # Ordered________Color_________________ # Ordered________Color_________________ $34.95 $39.95 Accessory Loops Leather Loops – Set of 2 $12.95 # Ordered________ E Loops- Set of 2 $ 12.95 # Ordered________ Note: Patterned Mag Pouches bought in combination with a Holster save $5.00. Subtotal Tax (ME. Residents Add5.5 % Tax) Shipping (Priority Mail) Total ___________ ___________ $12.95 ___________
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