ORDER Complete Custom Gun or Send your pistol for conversion
Ruger MkI, MkII, MkIII & 22/45 (Complete guns built on MkII depending upon market pricing and availability)
Complete form, Print out and Ship to CCG, Inc., 336 Shootout Lane, Princeton, LA 71067
Shipping Instructions  

Customer Information
First Name
Last Name
Organization
Address
Address
City			Gun Information
State / Province			Serial Number
ZIP / Postal Code
Country
Phone
Fax
Email Address
	INSTRUCTIONS
Conversion OR Complete Gun	Send your pistol Convert My Pistol (choose one) CRU-5.5 CRU/SS-5.5 CRU-6.25 CRU/SS-6.25 CRUS-5.5 CRUS/SS-5.5 CRUS-6.25 CRUS/SS-6.25	Buy the complete custom gun Complete gun (choose one) CRU-5.5 CRU/SS-5.5 CRU-6.25 CRU/SS-6.25 CRUS-5.5 CRUS/SS-5.5 CRUS-6.25 CRUS/SS-6.25
Grip Mod Options	MkI, MkII or MKIII Stipple Front Strap Only Stipple Front & Back Strap 22/45 ONLY Black THR Grip Modification THR Grip Modification + COLOR
Add-A-Scope	Red Dot Scopes Action Arms Ultra Dot 1" 3 MOA Dot Action Arms Ultra Dot 30mm Millett Redot 1" Millett Redot 30mm Ultra Dot LT
Barrel Options	Extra Barrel Length (up to 10") + $ 95 Extra Barrel Length (up to 16") + $ 150 Flute Barrel + $ 50
Finishing	Hard Chrome + $ 250 Reblue + $ 125

Additional Comments or Instructions: Please type any Special Instructions and/or comments Here

No Deposit is Required.	Amount $:
Method of payment: Select Payment Method VISA MASTER CARD Discover	If you wish to include payment information at this time, please note that your card will not be charged until work is completed. 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 CVV # REQUIRED (what's this?)	Name as it appears on card: Credit card billing address: City, State & Zip

Print this form and include with your firearm.
You may also fax to 318-949-9829
Clark Custom Guns, Inc.
336 Shootout Lane
Princeton, LA 71067 USA
318-949-9884