Clark Custom Guns, Inc. Ruger MKII Services Order Form
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
Trigger Work	Trigger Job (MkI, MkII - steel frame or 22/45) + $ 125 Trigger Job (MkIII - steel frame or 22/45) + $ 150
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
Reliability Work	Reliability Package + $ 75 (tune / test additional mags + $ 10 each)
Sights / Scope	Clark Dovetail front sight furnished & installed + $ 75 Bo-Mar rear sight / Clark dovetail front sight + $ 185 Hi-Viz Fiber Optic Front Sight furnished & installed (Bull Barrel ONLY) + $ 55 Clark Weaver style scope base furnished & installed + $ 70 Install customer supplied Clark scope base + $ 50 Install other customer supplied scope base Starting @ $ 65 Sight in (Iron Sights or Scope) + $ 35
Add-A-Scope	Red Dot Scopes Action Arms Ultra Dot 1" 3 MOA Dot + $ 129 Action Arms Ultra Dot 30mm + $ 139 Millett Redot 1" + $ 109 Millett Redot 30mm + $ 129 Ultra Dot LT + $ 209 Action Arms UltraDot 30mm FOUR + $ 179
Barrel	Install factory or aftermarket bull barrel + $ 125 Function Test + $ 35 4 Flute Bull Barrel (factory or Clark aftermarket) + $ 50*
Finishing	Hard Chrome + $ 225 Reblue Complete Gun + $ 125 Reblue Grip Frame Assembly ONLY + $ 75 Reblue Receiver / Barrel Assembly ONLY + $ 75




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 2008 2009 2010 2011 2012 2013 2014 2015	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
888-458-4126