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. updated 05/20/13

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 > > > > >			Base Gun - Complete Gun ONLY Caspian
Hammer Choice Clark Spur Clark Commander*			Trigger Short Long Long with 3 holes Trigger Color SILVER BLACK (discontinued)
Optional Features: Beavertail Grip Safety $ 85.00* Choose One Ed Brown STI Other (not available on HardBall*) Extended Thumb Safety* Choose One STI Standard $ 65 STI Ambidextrous $ 95 Ed Brown Standard $ 65.00 Ed Brown Ambidextrous $ 95.00 Other (not available on HardBall*) Checker front strap $ 50.00 Hard Chrome Complete Gun $ 250.00 Choose One Brush flats / Matte Rounds All Matte All Brushed BRIGHT $ 350.00 Hard Chrome Lower ONLY $ 150.00 Choose One Brush flats / Matte Rounds All Matte All Brushed BRITE $250 S&A Checkered DD Grips Start @ $ 35.95 Choose One Marbled Ebony Wood $ 39.95 Tulipwood $ 49.95 Black Rosewood $ 39.95 Cocobolo $ 44.95 Black Micarta $ 35.95 S&A Checkered Mainspring Housing $ 34.95 Choose One Flat Blue Flat Stainless Arched Blue Arched Stainless S&A Hex Head Grip Screws Choose One Blue $ 6.95 Stainless $ 7.95 HardBall style front sight NO Additional CHARGE (HardBall ONLY) Low Mount Bo-Mar BMCS style rear sight $ 45 (HardBall ONLY) * NOT LEGAL for DCM HardBall Matches (Not available as option on hardball conversion) Recommend Clark Custom Combat Other Option Additional Comments or Instructions: Please type any Special Instructions and/or comments Here $ 100 Deposit is Required for complete gun orders. Amount $: Method of payment: Select Payment Method VISA MASTER CARD Discover COMPANY CHECK PERSONAL CHECK . Please fill in only if different from information above. VISA, MC or Discover Expires Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Year 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 CVV # REQUIRED (what's this?)

Fax 318-949-9829

Mailing / Shipping Address:
Clark Custom Guns, Inc.
336 Shootout Lane
Princeton, LA 71067 USA
318 949 9884

TERMS

• Parts installed will match finish of pistol unless otherwise specified by customer.
• $ 100.00 Deposit required when ordering a complete gun.
• Canceled work orders are subject to a $ 50 cancellation fee
• Once your custom work is completed, a final invoice for the balance will be mailed to the address above.
  
  Failure to pay this invoice or make other arrangements within 90 days of invoice date will result in the loss of your deposit

• Payment may be made by MasterCard, Visa, Discover, Money Order or personal check.
• PERSONAL CHECKS WILL BE HELD 14 DAYS prior to shipping.
• All work order changes will be assessed a charge of $25 per change and may alter estimated completion date.
• All order change requests must be submitted in writing by fax, e-mail or snail mail.
• Custom work will be scheduled upon receipt of deposit and a signed work order form.
• Shipping (FedEx 2nd Day Air) for handguns is $ 35

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.



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Date	Signature