Please answer all fields.
Name
Address
City
State
Zip
Phone
Serial Number
Model
E-mail
Please state the nature of your request.
Please do not exceed the space provided. Should you require additional room, please attach a second sheet to the form you include with the firearm sent to Hi-Point for repair.
Once you complete the form, print a copy of it and include this with the firearm you send to Hi-Point for repair.