Order Form - 1911 Meltdown Complete gun orders must be shipped to a licensed dealer. We must have a signed copy of the dealer's FFL before we can ship any firearm. Customer guns can be returned directly to the customer upon completion of conversion.

last updated 08/06/12

Customer Information
1. Full Name
2. Organization / Company
3. Address
4. Address
5. City
6. State	AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
7. Zip Code
8. Email
9. Phone
10. Fax

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

Conversion Type MELTDOWN
Complete Gun Order > > > > > Caspian Frame
Frame Options Slide Options Material: Blue Stainless + $ 50 Titanium + $ 600* Blue Stainless + $ 50 Damascus + $ 650 Dust Cover: Standard Tactical Rail $ 95 Length: Long Slide (6") Government (5") Commander (4.25") *includes Accu-Rails and IonBond Diamond Black Coating Serrations: Rear Front & Rear + $ 75 Other Caliber Series 80 Safety + $ 100 (NA with titanium frame) .45 ACP 40S&W 38 Super 9mm Trigger: Short Long Long w/ Holes   Front Sight: Cross Dovetail (Default) Hardball Style Front Dovetail
Front Sight (Choose One) Cross Dovetail (most popular) Hardball Style Front Dovetail			Trigger Short Long Long with 3 holes
Frame Options Slide Options Mainspring Housing Checkered 25 LPI EGW Flat Checkered + $ 35 Nighthawk Flat Checkered + $ 45 Select One blue stainless Front Sight (Cross Dovetail) Dawson Precision Fiber Optic + $ 25 White Dot+ $ 25 Tritium + $ 125 Ambidextrous Thumb Safety Ed Brown Tactical + $ 45 STI + $ 45 Ed Brown Wide + $ 45 Rear Sight Novak Extreme + $ 50 White Dot+ $ 25 Tritium + $ 125 Machine Checker front strap 20 Lines per inch + $ 110 25 Lines per inch + $ 145 30 Lines per inch + $ 175* (complete gun only) Flat Top & Serrate Radiused + $ 125 Flat + $ 125 Grips Ahrends Checkered DD Choose One Cocobolo $ 74.95 Tulipwood $ 74.95 Macassar Ebony $ 74.95 Cordia $ 74.95 S&A Checkered DD Choose One Black Rosewood $ 39.95 Rosewood $ 39.95 Cocobolo $ 39.95 Black Micarta $ 35.95 Ivory Micart $ 35.95 Bocote $ 39.95 S&A Smooth Choose One Black Rosewood $ 34.95 Rosewood $ 34.95 Cocobolo $ 39.95 Black Micarta $ 29.95 Ivory Micart $ 29.95 Bocote $ 32.95 S&A Slimline Grips Choose One Black Rosewood $ 44.95 Cocobolo $ 44.95 Black Micarta $ 39.95 Clark 2 piece Guide Rod + $ 20 Grip Screws Torx + $ 9.95 ( blue stainless) Hex + $ 7.95 ( blue stainless) Finish Finish ( upper only) Hard Chrome matte $ 145 brushed $ 245 bright $ 365 IonBond Matte + $ 195 (+ $ 50 two-tone) DiamondBlack Gray Silver Copper Flat Dark Earth Finish Finish ( lower only) Hard Chrome matte $ 145 brushed $ 245 bright $ 365 IonBond Matte + $ 195 (+$ 50 two-tone) DiamondBlack Gray Silver Copper Flat Dark Earth Finish Finish (complete gun) Hard Chrome matte $ 225 brushed $ 395 bright $ 495 IonBond Matte + $ 295 (+ 100 two-tone) DiamondBlack Gray Silver Copper Flat Dark Earth
Other Option Additional Comments or Instructions: Please type any Special Instructions and/or comments Here Minimum $ 100 Deposit is Required for complete gun orders. $ 500 deposit for complete gun with Damascus slide. Method of payment: Select Payment Method VISA MASTER CARD DISCOVER Certified Check / Money Order 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?) Amount $:

Fax 318-949-9829

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

TERMS

• Canceled work orders are subject to a $ 25 cancellation fee.
• Once your custom gun is completed, a final invoice for the balance will be mailed to the address above.
• 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 deposit and a signed work order form.
• Shipping for most 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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