Benelli - Simply Perfect

To validate your FIVE YEAR LIMITED WARRANTY complete the form below, or download and print the PDF version.

To view and print PDF documents, you'll need the FREE Adobe Reader.

*Required Information

FIREARM INFORMATION
*Model Number:
*Serial Number:
*Purchase Date: Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
PURCHASER'S NAME AND ADDRESS
*First Name:
*Last Name:
*Address:
*City:
*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip: (Example: 12345)
*Phone: (Example: 812-555-1212)
*Email: (Example: name@domain.com)
I would like to receive future product information and company news from Benelli USA.
WARRANTY ASSIGNED TO (if different than purchaser) Same as Purchaser information above
*First Name:
*Last Name:
*Address:
*City:
*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip: (Example: 12345)
*Phone: (Example: 812-555-1212)
DEALER'S NAME AND ADDRESS
*Name:
*Address:
*City:
*State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip: (Example: 12345)
*Phone: (Example: 812-555-1212)
Your answers to the following questions will assist us to better serve you.
Type of store where this firearm was purchased: Gunshop Outdoor Outfitter Sporting Goods Store Hardware Store Other
Primary use of this firearm: Hunting Home Defense Cowboy Action Competition Target Collector
What made you choose this firearm? Reputation Advertising Performance Recommendation Features Warranty Price Other
Do you own other Benelli firearms? Yes No If yes, what models?
Is there another Benelli firearm model you would like to own? Yes No If yes, what models?
Would you recommend a Benelli product to others? Yes No If no, why not?
Which firearms/outdoor magazines do you read? American Hunter    Shoot Magazine Guns Magazine Guns & Ammo Shooting Times    Guns of the Old West The Cowboy Chronicle    Field & Stream American Rifleman    Outdoor Life Others
Which group best describes your annual household income: Under $10,000 $10,000-19,999 $20,000-29,999 $30,000-39,999 $40,000-49,999 $50,000-74,999 $75,000-99,999 $100,000 or more
What is your age group? 18-21 22-25 26-30 31-35 36-40 41-45 46-50 Over 50
You are: Male Female
Your employment: Professional/Technical Management Farm/Agricultural Student Craftsman Physician/Dentist Police/Law Enforcement Retired Sales/Service Military Clerical Other
Your education: Grade School Attended High School High School Graduate Attended College Associates Degree Bachelors Degree Post Graduate/Advanced Degree

• » Innovations
• » Shooters
• » Store
• » Video
• » Television
• » Sportsman's Journal
• » Dealer Locator
• » Benelli Afield

• » Site Map
• » Links
• » Employment
• » Safety
• » Warranty Registration
• » Media
• » Catalogs
• » News
• » Forums
• » Customer Service