Parts / Accessories Order Form Shipping Instructions Latest Version of Microsoft Internet Explorer or Mozilla Firefox is required to use this form. Download the latest version for free @ Mozilla or Microsoft. Customer Information First Name Is this your first order? Yes No Last Name Backorder OK? Yes No Organization SELECT ONE Commercial Residential Address City State / Province ZIP / Postal Code Country Email Address Phone Fax Quantity Item Number / Description Price Each Total Subtotal SALES TAX - Louisiana Residents Only ... Add 4% Select Preferred Shipping Method FedEx Ground (under 1 lb) $ 7.50 FedEx Ground (2-4 lbs) $ 10.00 FedEx Ground (5-8 lbs) $ 15.00 Priority Mail (under 1 lb) $ 7.50 + $ 5.00 FedEx residential deliveries Shipping Total Additional Comments or Instructions: Please type any Special Instructions and/or comments Here Amount $: Method of payment: Select Payment Method VISA MASTER CARD DISCOVER COMPANY CHECK PERSONAL CHECK Money Order Certified Check Card Number - - - Expires Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Name as it appears on card: Credit card billing address: City, State & Zip Complete form, Print, then mail, Fax 318-949-9829 or Order toll free @ 888-458-4126. NOTE: Minimum Order $ 30 (excluding shipping) Clark Custom Guns, Inc. 336 Shootout Lane Princeton, LA 71067 USA
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