Professional Firearms Instruction,

LLC
1823 N 285 W
Layton, UT 84041
801-416-0606 Firearmspro.com
Saiga 12 Shotgun Custom Order
Form
Please complete this form and save it to your computer. Then email it to us for a
Custom Estimate. You may also print the form and fill it out, then fax it to us at 801-
416-0606 (please call first so we can ready the fax machine). Email is preferred as
sometimes faxes are very hard to read.

About YOU
Full Name:      
Complete Address:      
Phone Number:      
About YOUR Custom Shotgun
Saiga 12 Model (Select ONE) 19” Barrel 24” Barrel

Do you want a Pistol Grip Conversion? Yes No

If Yes, Select Trigger Guard: CSS Trigger Guard Tromix Trigger Guard
Select Stock: Tapco Adjustable Tapco Fixed
(Basic Pistol Grip Conversion includes: Tapco Stock, Tapco SAW Grip, New Trigger Guard, New
Modified Fire Control Group, DuraCoating the underside of the Receiver, Labor)

Conversion Upgrades: (Check Desired Options)

Grips: ERGO Grip Hogue Grip CAA Modular Grip
Magpul MOE Other (any AK or AR-15 Grip)      
Add Rubber Butt Pad to Tapco Adjustable Stock
Enhanced Safety Selector w/Trigger Finger Shelf
Recoil Buffer
Extended Magazine Release If Yes, Select ONE: Ambi Right
Performance Power Main Spring (Improves Trigger Pull and Cycling)
Reduced Power Recoil Spring If Yes, Select ONE: #1 #2 (for light loads only)
4-Position Finger Adjustable Gas Plug
Extended Charging Handle
Upgraded Gas Puck
Extended Test Fire (Standard Test Fire is 25rds) Specify Round Count:
Gas System Overhaul (allows Saiga to cycle low power loads)
Please Specify the Quality/Type of ammo you plan to shoot:      

Continued on Page 2

© Professional Firearms Instruction, LLC 2008-2010

 Page 1
Additional Options and Upgrades: (Select Desired Options)

Muzzle Brakes: JTE #1 JTE #2 Tromix Shark ETAC Talon

Chaos Warthog SGMT Pro SGMT Boss SGMT Gunner
Phoenix Flame Other:      

Poly-Chokes Adjustable Choke Models: Breacher Vented Standard

Forearms: SGMT Polymer Tri-Rail CSS Quad-Rail (Billet) UTG Quad-Rail

MAA Quad-Rail (Billet) CSS Tri-Rail (Billet) Tapco Intrafuse
Polymer
Vented AR-15 Tube Style Other:      

Stock Upgrades: Magpul CTR Magpul MOE VLTOR EMOD

Tromix
Magpul ACS Tromix w/Limbsaver Other (any AK or AR-15
Style)     
Add Side Folding Mechanism? If Yes, Select ONE: Bush Button Standard

DuraCoating: We offer complete DuraCoating Services. Our Pistol Grip Conversions include
DuraCoating on the Underside of the Receiver to cover up the bare metal exposed
during the conversion. Please let us know I you would like any other components
DuraCoated as well. Explain:     

Sling Options: Padded 2-Point Sling Non-Padded 2-Point

Single Point
Other:      

We HIGHLY recommend one of the following cases as part of your package. They are amazing
cases and help protect your custom shotgun during shipping/transport.
42” Tactical Single Rifle/Shotgun Case w/ 3 Modular Pouches (OD, Blk, Tan, ACU) $55
Choose a Color.
42” Tactical Double Rifle/Shotgun Case w/3 Modular Pouches (OD, Blk, Tan, ACU) $65
Choose a Color.

Magazines: (Specify Quantity) SGM Tactical2 Round Quantity 5 Round Quantity8 Round
Quantity
10 Round Quantity 12 Round Quantity
MDArms 20 Round Drum Quantity
RAA 5 Round Quantity

Optics: Burris Fast Fire II CMore STS Trijicon RMR Other:      

© Professional Firearms Instruction, LLC 2008-2010

Ammo- We can provide some of the same ammo that we used for the test firing of your shotgun
as well as many other types of ammo, including managed recoil buckshot and slugs (great for
use in Saigas that have had the gas system overhaulded). Check the box for pricing/info:      

Additional Comments, Questions, or Concerns:      

Page 2

© Professional Firearms Instruction, LLC 2008-2010