Clark Custom Guns, Inc. Logo Order Form - 1911 Bullseye Pistol
Complete gun orders must be shipped to a licensed dealer.
We must have an original signature copy of the FFL before we can ship any firearm. Customer guns can be returned directly to the customer upon completion of conversion.
 
Customer Information

First Name

Last Name

Organization

Address

Address

City

DEALER INFO (complete gun orders only)
FFL is already on file with your company
FFL is attatched to this order
Will send FFL later
State / Province

ZIP / Postal Code

Country
Email Address

Phone

Fax

Conversion Type  
45 Heavy Slide / 45 Optical Heavy Slide
38 Heavy Slide

45 Long Heavy Slide
45 Premium Bullseye
38 Premium Bullseye

45 HardBall
Complete Gun Order > > > > >
Conversion on Customer's Gun > > > >
Optional Features:
Beavertail Grip Safety $ 85.00*
Extended Thumb Safety*
Checker front strap $ 50.00
Hard Chrome Complete Gun $ 195.00
Hard Chrome Lower ONLY $ 125.00
S&A Checkered DD Grips Start @ $ 35.95
S&A Checkered Mainspring Housing $ 34.95
S&A Hex Head Grip Screws
* NOT LEGAL for DCM HardBall Matches
Other Option
Additional Comments or Instructions:
$ 100 Deposit is Required for complete gun orders.
Amount $:
Method of payment: . Please fill in only if different from information above.
VISA, MC or Discover
Expires /






Fax 318-949-9829

Mailing / Shipping Address:
Clark Custom Guns, Inc.
336 Shootout Lane
Princeton, LA 71067 USA
888-458-4126

TERMS

    I have read, understand, and agree to the above terms and understand that delivery times estimated are strictly approximate and may vary considerably due to factors out of our control. I also understand that specifications are subject to change due to product improvements and parts availability. Having read and understood these terms, I hereby authorize the above custom work to be performed on my gun.

    ______/_____/_______
    _____________________________
    Date
    Signature