Cerakote Request Form
IMPORTANT!! If you are shipping your project to us, you MUST include the completed order form and a copy of your photo ID or FFL in the package. The Project MUST be shipped back to the same address it was shipped from or to a FFL.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone number
*
Format: (000) 000-0000.
Does your item require any type of disassembly?
*
Yes
No
Type of Item:
*
Handgun
Long Gun
Other
Make / Model
Serial Number
Please Mark the Parts you are Including to be Cerakoted:
Complete Rifle
Upper Receiver
Stripped Lower Receiver
Complete Lower Receiver
Handguard
Stock
Barrel
Controls
Complete Pistol
Slide
Frame
Complete Shotgun
Bolt/Action
Scope
Weapon Light
RMR
Scope Mount
Other
Photo or sketch of your inspiration or example of what you'd like done (theme / pattern):
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide the specific Cerakote Color(s) and any additional guidance:
*
Submit
Should be Empty: