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2009 INSTRUCTOR’S CONFIDENTIAL PRICE SHEET

Name_________________________________________________________ Tel:_________________________________

Address___________________________________________________________________________________________

City____________________________________________________State____________Zip________________________

Quantity Model Description Price Total

H001 Henry Lever Action .22 S/L/LR $201.70

H001Y Henry Lever Action Youth .22 S/L/LR $201.70

H001T Henry Lever Octagon .22 S/L/LR $263.07

H005 Henry Mini Bolt Youth .22 S/L/LR $158.18

H005S Henry Mini Bolt Orange .22 S/L/LR $158.18

H007 Henry Acu-Bolt .22 S/L/LR $252.45

Freight Shipping Charges (Guns only) $10.00 per unit

HCASE Henry Gun Case 40” fits H001/H007 $25.00

HCASEMB Henry Gun Case 34” Fits H001Y $25.00

H005 and H005S
HCAT Henry Catalogs (50 pack) No Charge

HSAF Henry Safety Literature (50 pack) No Charge

Total Amount Due, Make Check Payable to Henry Repeating Arms

or complete credit card information below. $
IMPORTANT Purchasing Information

Please Include a photocopy of gun dealers Federal Firearms License

We accept payment by: Visa Master Card American Express By Check

Card Number:
Visa credit card security code (a three
Expriation Date: digit number on back of card)

We suggest you make a photostat of the order form when submitting your order and remember to attach the
gun dealers Federal Firearms License.

Henry Repeating Arms Company, 59 1st Street, Bayonne, New Jersey 07002 USA
Tel: 201.858.4400 (24 hours) • Fax: 201.858.4435
www.henryrepeating.com • info@henryrepeating.com