Work Order Form Custom Cerakote Details Form Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Items to be Coated: Please List Make/Model/Serial NumberPlease list each item individually *See BelowMake(Required)Model(Required)SN(Required)Item Description(Required)Color(Required)Pattern(Required)QTY(Required)11234567891011121314151617181928CostAdd Additional Add Additional Item Make(Required)Model(Required)SN(Required)Item Description(Required)Color(Required)Pattern(Required)QTY(Required)11234567891011121314151617181928CostAdd 3rd Add Additional Item Make(Required)Model(Required)SN(Required)Item Description(Required)Color(Required)Pattern(Required)QTY(Required)11234567891011121314151617181928CostAdd 4th Add Additional Item Make(Required)Model(Required)SN(Required)Item Description(Required)Color(Required)Pattern(Required)QTY(Required)11234567891011121314151617181928CostAdd 5th Add Additional Item Make(Required)Model(Required)SN(Required)Item Description(Required)Color(Required)Pattern(Required)QTY(Required)11234567891011121314151617181928CostNote: If you are sending parts please do not send small items such as springs, detents, pins, etc., unless they are to be coated. PLEASE CALL BEFORE SENDING ANY ITEMS. Disassembled Firearm Yes No Complete Inventory List of Parts Sent:Item DescriptionQTY Add RemovePayment is required with order, must be paid prior to shipping out.Cerakoted items must be picked up within 30 days. After 90 days items Will become the property of Cerakote USA.Acknowledgement I, Agreed to the terms set forth by HPCguns.com and will strictly adhere to all federal and states laws.
