500 Pum

p-Action

Shotgun

(#50577)

715T Flat

Top

.22 Rifle (

#37209)

930 Hom

e Securit

y

Shotgun

(#85320)

BUYGUNSGET FREE GUNS.

Mossbergs Triple Crown Stocking Dealer Program offers these guns FREE with the purchase of 10, 20, and 30 Gun Packages.

LIMIT: Two (2) packages per program year during qualifying dates.

PACKAGE PURCHASES ALSO EARN DEALERS THIS LIMITED EDITION MOSSBERG NEON SIGN...ABSOLUTELY FREE!

20 13 TR IPLE CROWN PROGRAM

STOCKING DEALER PROGRAM

S E E R E V E R S E S I D E F O R F U L L S T O C K I N G D E A L E R P R O G R A M D E T A I L S & O R D E R F O R M

ATR Bolt-

Action Rif

le (#2704

0)

DEALER NAME CONTACT NAME TELEPHONE EMAIL

DEALER LOCATION ADDRESS CITY STATE ZIP CODE

MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE

DISTRIBUTOR NAME DISTRIBUTOR SALES ASSOCIATE DATE OF ORDER (INTERNAL USE ONLY) DISTRIBUTOR PURCHASE ORDER # (INTERNAL USE ONLY)

BUY

10

PKG PURCHASE REQUIREMENTS/CRITERIA (LIMIT TWO PACKAGES PER PROGRAM YEAR) RECEIVE FREE

BUY

20

BUY

30

Two (2) Mossberg Pump-Action Shotguns (any 500/535/835/505/510/590/590A1 or FLEX 500/590) . . . SKU1____________ SKU2____________

One (1) Mossberg or Mossberg International Autoloader Shotgun (any 930/935/SA-20) . . . . . . . . SKU1____________

One (1) Mossberg Bolt-Action Rifle (any 4x4/MVP Series/ATR/ATR Night Train) SKU1____________

One (1) Mossberg 464 Lever Action Rifle . . . . . SKU1____________

Five (5) Mossberg or Mossberg International Guns in any mix or match combination*

SKU1____________ SKU2____________ SKU3____________ SKU4____________ SKU5____________*ALL MAVERICK PRODUCTS & MOSSBERG MMR SERIES MODELS ARE EXCLUDED FROM THE TRIPLE CROWN PURCHASE PROGRAM

Four (4) Mossberg Pump-Action Shotguns (any 500/535/835/505/510/590/590A1 or FLEX 500/590)

SKU1____________ SKU2____________ SKU3____________ SKU4____________

Two (2) Mossberg or Mossberg International Autoloader Shotguns (any 930/935/SA-20) . . . . . . . . . . . SKU1____________ SKU2____________

Two (2) Mossberg Bolt-Action Rifles (any 4x4/MVP Series/ATR/ATR Night Train) . . SKU1____________ SKU2____________

Two (2) Mossberg 464 Lever Action Rifles . . . . . SKU1____________ SKU2____________

Ten (10) Mossberg or Mossberg International Guns in any mix or match combination*

SKU1____________ SKU2____________ SKU3____________ SKU4____________ SKU5____________ SKU6____________

SKU7____________ SKU8____________ SKU9____________ SKU10___________*ALL MAVERICK PRODUCTS & MOSSBERG MMR SERIES MODELS ARE EXCLUDED FROM THE TRIPLE CROWN PURCHASE PROGRAM

Seven (7) Mossberg Pump-Action Shotguns (any 500/535/835/505/510/590/590A1 or FLEX 500/590). . SKU1____________ SKU2____________

SKU3____________ SKU4____________ SKU5____________ SKU6____________ SKU7____________

Three (3) Mossberg or Mossberg Intl. Autoloader Shotguns (any 930/935/SA-20) . SKU1____________ SKU2____________ SKU3____________

Three (3) Mossberg Bolt-Action Rifles (any 4x4/MVP Series/ATR/ATR Night Train) . . SKU1____________ SKU2____________ SKU3____________

Two (2) Mossberg 464 Lever Action Rifles . . . . . SKU1____________ SKU2____________

Fifteen (15) Mossberg or Mossberg International Guns in any mix or match combination*

SKU1____________ SKU2____________ SKU3____________ SKU4____________ SKU5____________ SKU6____________

SKU7____________ SKU8____________ SKU9____________ SKU10 ___________ SKU11 ___________ SKU12 ___________

SKU13 ___________ SKU14 ___________ SKU15___________*ALL MAVERICK PRODUCTS & MOSSBERG MMR SERIES MODELS ARE EXCLUDED FROM THE TRIPLE CROWN PURCHASE PROGRAM

Receive a FREE 500 Pump-Action Shotgun (#50577)

with every Buy 10 Package(All FREE firearms will ship direct from Mossberg)

Receive all five FREE: 500 Pump-Action Shotgun (#50577)

ATR Bolt-Action Rifle (#27040)930 Home Security Shotgun (#85320)

Two NEW Tactical .22 Rifles (#37209)**with every Buy 30 Package

(All FREE firearms will ship direct from Mossberg)

**Where the sale of this model is restricted by law, a 10-Round/Fixed Stock version (#37201) is available. Please know your laws and order

product accordingly.

Receive all three FREE: 500 Pump-Action Shotgun (#50577)

ATR Bolt-Action Rifle (#27040)NEW Tactical .22 Rifle (#37209)**

with every Buy 20 Package(All FREE firearms will ship direct from Mossberg)

3 Distributor must provide: Copy of Stocking Dealer Program Order Form, and Copy of Distributors Corresponding Purchase Order (Mossberg Drop Ship Order), and Copy of current FFL

4 Submit all of the information to Mossberg IMMEDIATELY via one of these methods: via FAX: 203-643-2029, or via SCAN/EMAIL to triplecrown@mossberg.com, or via MAIL to: Mossberg Triple Crown Program, 7 Grasso Avenue, P.O. Box 497, North Haven CT 06473

Program is limited to dealers with physical storefront addresses online retailers are not eligible.Program pricing, specifications, availability and

terms of offer may change without notice. No exceptions, substitutions or cancellations. Offer not valid with any other promotion or discount. For more information, contact your Distributor or Mossberg at 203-230-5355.

2013 TRIPLE CROWN PROGRAM

STOCKING DEALER PROGRAM ORDER FORM

LIMIT: TWO [2] PACKAGES PER PROGRAM YEAR DURING QUALIFYING DATES

PROGRAM DATES: DECEMBER 1, 2012 MARCH 31, 2013

ALL FIREARMS AND PROMOTIONAL MATERIALS DROP SHIP DIRECT FROM MOSSBERG

BONUS!FREE MOSSBERG NEON SIGNWITH ANY PACKAGE PURCHASE[LIMIT ONE SIGN PER DEALER LOCATION]

STOCKING DEALER PROGRAM ORDERING INSTRUCTIONS

Stocking Dealer Program Orders are: Non-Cancellable; for Immediate Drop-Ship Only; & Purchased through One (1) Distributor.1 Fill out this form. For more than one store location,

use a separate form for each shipping address. (Extra forms are available at www.mossberg.com/triplecrown).

2 Dealer places Drop Ship Order specific only to all the products listed below with one (1) Distributor.

ONLY ITEMS LISTED IN THE 2013 MOSSBERG TRIPLE CROWN TRIPLE CROWN PRODUCT LIST ARE AVAILABLE TO ORDER.