warranty Page

TO ACTIVATE YOUR WARRANTY, PLEASE FILL OUT AND SUBMIT THIS WARRANTY FORM AS SOON AS POSSIBLE .
Type of Warranty
Customer's Name:
Age:
Address:
City:
State:
Zip:
Email Address:
Dealer/Store Name:
Dealer Name:
Dealer Address:
Dealer City:
Dealer Zip:
Dealer Phone:
Dealer Fax:
Dealer Email:
Optic Purchased
Model:
Brand of Base:
Brand of Rings:
Price Paid Excluding Sales Tax:
Product Serial Number:
Date Purchased:
Type of Dealer
Please list the magazines you read:	American Hunter American Rifleman America's First Freedom Deer & Deer Hunter Field & Stream Fur Fish and Game Gun Digest Guns and Ammo Guns and Hunting Guns Magazine Handloader North American Hunter Outdoor Life Performance Shooter Peterson's Hunting Precision Shooting Rifle Magazine Rifle Shooter Safari Magazine Shooting Illustrated Shooting Sports USA Shooting Times Shotgun News Successful Hunter Varmint Hunters Magazine Whitetails Unlimited Other Magazines:
Your reasons for choosing a Burris Optic? (check all that apply) Recommendations from:
Your reasons for choosing a Burris Optic? (check all that apply) Recommendations from:	Other Burris Owner (a) Friends/Relative (b) Salesperson (c) Outfitter/Guide (d) Clarity (e) Reliability (f) Field-of-View (g) Appearance (h) Durability (i) Warranty (j) Light Transmission (k) Magazine (l) Advertisement (m) Catalog (n) TV ad (o) Other (p)
Using the letters above, what are your most important reasons for choosing Burris? (example, put “e” for “Optics clarity”, etc.)
Most Important
Second Second Most