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Developed by John Osborne AA, FSI, ACRA, FSG. & Wayne Nelson AA, FSI, ACRA, FSG. This form is approved by the New Zealand Society of Gunsmiths Inc.
Introduced November 1998, Last reviewed October 2006 Please fill in Sections 1 -15 as appropriate (see guidelines). 1. COMMISSIONED BY: Name: .........................................................................Firearms licence No. ................................................. Address:............................................................................................................................................................. Company:...............................................Tel.(..).....................Fax.(..).....................Email................................. 2. CUSTOMER INSTRUCTIONS (Appendix No. ........)……………………………………………… ......................................................................................................................................................................... 3. AGREED TREATMENT/OUTCOME (Appendix No. ........)………………………………………… ........................................................................................................................................................................... 4. DETAILS OF ARM (Appendix No. ........) Make: ......................................................................Model/Pattern: ................................................................. Type: ............................................................................................................................................................... Calibre/Bore: ........................................Serial number: ................................................................................... Other Features/Marks/Proof/Embellishments: ................................................................................................ .......................................................................................................................................................................... 5. CONDITION OF ARM AS RECEIVED (Appendix No. ........) ............................................................................................................................................................................ 6. PHOTOGRAPHS (Appendix No. ........) ............................................................................................................................................................................ 7. HISTORY OF ARM (Appendix No. ........) ............................................................................................................................................................................. 8. HERITAGE RATINGS OF ARM (Appendix No. ........) 0 = Nil 3 = Highest Historic Value Aesthetic Value Functional Value [……………………..] [……………………….] [………………………….] 9. ETHICAL CONSIDERATIONS (Appendix No. ........) ........................................................................................................................................................................ 10. CULTURAL CONSIDERATIONS (Appendix No. ........) .......................................................................................................................................................................... ........................................................................................................................................................................... 11. LEGISLATIVE CONSIDERATIONS (Appendix No. ........) ............................................................................................................................................................................ ........................................................................................................................................................................... 12. SECURITY CONSIDERATIONS (Appendix No. ........) ............................................................................................................................................................................ ............................................................................................................................................................................. 13. CONSERVATION TREATMENT/WORK PROCESSES/SAFETY (Appendix No. ........) ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................ ............................................................................................................................................................................. 14. WORK REQUIRED FOR RESTORATION (Appendix No. ........) ............................................................................................................................................................................. .............................................................................................................................................................................. ............................................................................................................................................................................... .............................................................................................................................................................................. ………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………… 15. CONTRACT AGREEMENT. I hereby agree to have the above named Conservation/Restoration work carried out as itemised in this contract, and with specific reference to agreed outcomes as itemised under Section 3 of this contract (Signed) Customer : .....................................................................…………… (Signed) Gunsmith/Conservator: ........................................................................
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Conservation & Restoration 
