NAME_______________________________________________________________
ADDRESS (PO Boxes Okay)_______________________________________________
CITY__________________________________STATE___________________________________ZIP______________-________
PHONE NUMBER (_________)-____________________________
CHECK or MONEY ORDER # ________________________________________________________
VISA or MASTER CARD #__________________________________________________________
EXPIRATION DATE (mm/yy)___________________3 Digit Code located on Back of Card on Signature Line __________
T-GRIPS
FINISHES: POLISHED $27| BRUSHED $24 |FLAT BLACK $25.00 |SHINY BLACK $25.00| BRUSHED BRONZE $33.00| POLISHED BRONZE $33.00
Fill out your T-Grip and revolver information below the line.
COLOR | SIZE # | GUN TYPE: Model/Year | Quantity |COST$ ___________________________________________________________________________________
#
#
#
___________________________________________________________________________________
T-GRIP SUB TOTAL $________ Trigger Shoe SUB TOTAL$_________ (print separate form)
SHIPPING = $6.75 ---- for orders under 18 items. Allow 6 to8 weeks for items to ship - Most items are made to order. Only one shipping charge per order.
TOTAL = $_______ Please include all applicable Taxes. Thank you for your business!