Grip Order Form
336 Shootout Lane, Princeton, LA 71067
318-949-9884 phone 318-949-9829 fax

Form Requires
Netscape Version 4.75 or higher/
Internet Explorer Version 5.0 +

 
Bill to:
  Name Phone
  Address (street) Fax
  City, State, ZIP    
  Email    







Payment Method:
Type of card:
Card number: - - -
Card expiration date: /







  Ship to:  Name
    Address (street)
    City, State, ZIP
    Phone
- -






Grip Specifications Modify my grip $ 75 Send me a complete grip $ 165
  No paint (Black grips only)
  Paint grip (required on colored grips) + $ 25
Side Panels Light Medium Sharp Extra Sharp
Pattern Random Large Medium Small
Front Strap Light Medium Sharp Extra Sharp
Logo Remove   Retain  
Top Diamonds Remove   Retain  
Bottom Diamonds Remove   Retain  
Undercut Double   Single  
Default values are currently selected
I've included my mag well ~ please contour grip.
Shipping included to continental US business address. Add $ 5 for residential delivery.