You must register your Cobra products in order to validate your warranty or receive support from Cobra Enterprises.

YOUR INFORMATION:
First Name:		Address:
Last Name:		City:
Email:		State:
Phone:		Zip:
PRODUCT INFORMATION:
Model:	Select Product Purchased Standard Derringer Big Bore Derringer Long Bore Derringer Titan CA Semi Automatic FS Semi Automatic Patriot Series 45 Patriot Series 9 380 Shadow Commemorative Gun Program	Serial #
Date Purchased:	mm/dd/yy
Is this your first purchase of a firearm?			Yes    No
Did you receive this firearm in a Cobra Enterprises box with the owners' manual?			Yes    No
Did you understand all of the operating instructions?			Yes    No
Did you recieve any instruction from a competent firearms instructor on the safe handling of this firearm?			Yes    No
If you answered NO to questions 3 or 4, it is our strict recommendation for your safety and the safety of others, that you do not attempt to load, or operate this firearm until you have obtained safe handling instructions by a qualified firearms insturctor.
DEALER INFORMATION:
Place of purchase:
Dealer Address:
City:	State:    Zip: