AEGIS CERAKOTE & GUNWORKS, LLC Address: N7573 E Dover Road, Phillips, WI 54555Website: aegiscerakote.com | Email: info@aegiscerakote.comPhone: (715) 339-4347 | FFL: 3-39-099-07-8A-20239 CERAKOTE PROJECT FORM CUSTOMER INFORMATION FULL NAME PHONE EMAIL ADDRESS CITY, STATE, ZIP FIREARM INFORMATION MANUFACTURER CALIBER SERIAL NUMBER PROJECT DETAILS FIREARM PARTCERAKOTE COLORCODEPATTERN Firearm Part 1 Color 1 Code 1 Pattern 1 Firearm Part 2 Color 2 Code 2 Pattern 2 Firearm Part 3 Color 3 Code 3 Pattern 3 Firearm Part 4 Color 4 Code 4 Pattern 4 Firearm Part 5 Color 5 Code 5 Pattern 5 ADDITIONAL PROJECT DETAILS FINAL CUSTOMER CHECKLISTHOW DID YOU HEAR ABOUT US? Copy of Driver's License included in package (front & back) Credit Card Over Phone — 3% surcharge applies to cover banking fees Copy of Aegis Cerakote & Gunworks LLC FFL included in package Copy of Cerakote Project Form included in package SUBMIT PROJECT FORM AEGISCERAKOTE.COM | INFO@AEGISCERAKOTE.COM | (715) 339-4347