Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Stippling Pattern *

Choose one:

MOD 1 - Add $30

MOD 2

MOD 3

MOD 4

MOD 5

Pistol Type

Choose One:

Compact or Large Frame $200

Sub-Compact Frame $175

Glock Logo on Grip *

Choose one:

Leave (Will have border around it)

Remove

Finger Grooves *

Choose one:

Remove Finger Grooves

Leave Finger Grooves

No Finger Grooves

Undercut *

Choose one:

Single Undercut

Double Undercut

None

Thumb Ledge Texturing *

Choose one:

Texturing with Border

Mild Thumb Ledge +$10

Aggressive Thumb Ledge +$25

None

Tang Stippling *

Choose One:

Full Tang Stippling

No Tang Stippling

Additional Options

Glove bevel with contoured trigger guard +$50

Enhanced backstrap +$50

Enhanced trigger undercut +$20

Enhanced trigger undercut with finger groove +$40

Grip Chop 19/17/34 to 26 +$75

Grip Chop 17/34 to 19 +$50

Mild grip reduction +$25

Full grip reduction +$85

Mold in beavertail or backstrap +$50

Magazine Scallop (Gen 3) Only (Included)

Shipping

Chose one or more *** Insurance covers up to $500 if more is needed add amount requested to additional notes

Return Shipping $15

Add Insurance (Covers $500) +$5

Add Signature Confirmation +$5

Return Shipping Label Provided