Print Out Order Form

Color of Holster: (circle one)

Black on Black               Brown on Black

Your name ________________________

Email ____________________________

Phone # __________________________

Make of Firearm ____________________

Model of Firearm ___________________

Spare Magazine (Standard? Extended? etc.)?
_________________________________

Pants Size (The average size jeans you wear)?
_________________________________

(circle one)
Right Handed?           Left Handed?

Lasers / Lights (add $5.00 to total)
Make: _____________________________
Model: ____________________________

Any additional information?

_________________________________