Document 6459219

Order Form - Please Print and send or bring in with your Items
First Name _____________ Last Name__________________
Address __________________________________________
City______________________ State ________Zip _______
Phone # (____)___________________
Email Address______________________________________
Item to be dipped: Only send the items you wish to be dipped. Firearms must be
completely disassembled.
________________________________________________________________________
__________________________
Scopes will have to be fully submerged in water and so no warranty will be issued. Please fill out and include the
Scope Waiver form and send or bring in with your items.
Pattern Requested:
________________________________________________________________________
________________________________________________________________________
Sure Grip __________
Comments or Special Instructions:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Chameleon Camo and Hydrographics
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Send us the above submission form or email prior to shipping your items to us.
Print and fill out the Order Form and send it signed with your item. (If dipping
a scope, please include the scope waiver form)
Package your item well; we will no be responsible for damaged items received.
Ship your item with FedEx or UPS. Make sure to insure your package.
For your convenience there is a shipping label below. Just cut it out and tape it
to your package.
Call us if you have any questions and we will call you when we receive your
packag.
Thanks for your order.
Chameleon Camo and Hyrdographics
(601) 807-0344
Cut along line
Chameleon Camo and Hydrographics
C/O Roy Farmer
405 Willow Street
Vidalia, LA 71373
(601) 807-0344