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Thank you for purchasing your Ruger firearm. We would like you to supply us with the following information, which will be used in the unlikely event of a product notification or product safety program. The information you submit will help us determine the best magazines to publicize product notifications and will allow Ruger to notify your dealer, if appropriate. For your convenience and security, Ruger offers you the opportunity to provide this information online or by mailing in a printed version of this form.
View Printable Version

How is this information used?
This information will enable Ruger to contact you regarding important product notifications and to help us better understand why you selected a Ruger product.
Your information will not be shared with companies outside of Ruger.

In appreciation for completing and submitting this form, Ruger would like to offer you a 20% discount off your next purchase of up to $100 from our Sportswear & Accessories line.
See Terms and Conditions

Ruger does not sell or market its products to minors. Please do not submit information to Ruger if you are under the age of 18. BY SUBMITTING THE FOLLOWING INFORMATION TO RUGER, YOU CERTIFY THAT YOU ARE 18 YEARS OF AGE OR OLDER.

Owner Information
First Name: -Required
Last Name: -Required
Address 1: -Required
Address 2:
City: -Required
State: -Required for U.S. Customers
Zip: -Required for U.S. Customers
Zip +4:
International Customers - for non U.S. Customers
Province/Territory: -Required if Applicable
Country: -Required for non U.S. Customers
Postal Code:
Email:
Your Age:
Is this the first firearm you have purchased?    Yes     No

Firearm Information (see label sample below)
Catalog Number:
Product Family: -Required
Model Number:
Caliber/Gauge: -Required
Date Purchased: Day      Month      Year -Required
Serial Number: -Required for 20% Sportswear & Accessories discount offer

Sample Packaging Label:
To fill out the form above, first locate the original packaging label.
• Long Guns - The original packaging label can be found on the end of the shipping box.
• Hand Guns - The original packaging label can be found on the hard shell case.

Licensed Dealer Where Firearm was Purchased
Dealer Name:
Address 1:
Address 2:
City:
State:
Zip:
Zip +4:
International Information - for non U.S. Dealers
Province/Territory:
Country:
Postal Code:

Reasons for Purchasing this Firearm (check all that apply)
Hunting Target Competition
Plinking Gun Collecting Security Services
Self or Home Protection Law Enforcement Gift / Prize
Other

Reasons for Selecting Ruger (check all that apply)
Ruger's Features, Appearance, Quality Ruger's Reputation
Previous Ruger Owner Dealer's Recommendation
Friend's Recommendation Price
Advertisement Ruger Product Flyer
Magazine Article Ruger Catalog
Ruger Web Site 100% Made in U.S.A.
Other

Magazines Read Regularly (check all that apply)
Alaska Game & Fish Outdoor World
America’s First Freedom Gun Tests Outfitter Journal
American Handgunner Gun World Popular Mechanics
American Hunter Guns & Ammo Popular Science
American Rifleman Handloader Progressive Farmer
American Whitetail Heartland Rifle
Buckmasters Whitetail Hunter’s Handbook Shooter’s Bible
Bugle Hunting Shooting Times
Ducks Unlimited North American Hunter Successful Hunter
Field & Stream North American Whitetail Turkey Call
Fishing & Hunting News Outdoor Life Woman's Outlook

Special Promotions and Offers
Please notify me regarding special offers and promotions.

To be sure all of the information we receive is accurate, a Ruger representative may request clarification of your submitted information.