

| ORDER FORM Please print out the entire form and mail it, along with full payment including return shipping, with your order. We will call you when we receive it and go over it with you if we have any questions. Please make sure your item(s) is securely packed and we recommend insurance. We cannot be held responsible for loss and/or damage due to shipping. It is recommended you take a photo of your item(s) (especially fragile items just prior to shipping, in case an insurance claim must be filed. We will let you know when your item(s) ship from here. Do not send items that will not be dipped. Guns must be disassembled! If sending a scope, be sure to sign the SCOPE WAIVER. Accepted payment methods are: Paypal (Free to use. Go to Paypal.com to sign up. Send payments to: hydrostylz@gmail.com); Check (must clear before we will start on items) or Money Orders. Customer Information: Name: ________________________________________________________________________________ Business (if applicable):__________________________________ License Number: ___________________ Address: _______________________________________________________________________________ City: ____________________________________ State: ____________________ ZIP:__________________ Home Phone: ____________________________ Cell Phone: ___________________________ Email: _______________________________________________________________________ Hydrographic Information: Item(s) (Please include number of items sent to be dipped.) For multiple items with different base coats and patterns, please enclose these directions for each. : __________________________________________________________ Pattern: ______________________________________ For Skulls, do you want the teeth: White/Natural _______ Dipped in same pattern ________ Skulls must be clean and free of grease, etc. We will not be responsible for failure of product due to grease seepage. Preferred Base Coat Color (unless specified, we will use standard colors):: ____________________________________ Finish: Gloss _______________ Satin_______________ Matte ______________ Additional Instructions:_______________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ SCOPE WAIVER I understand applying a hydrographic finish to my scope may void the scope warranty. (Please check with the scope manufacturer.) I also understand the hydrographic process will result in the scope being momentarily submerged in water and could possibly cause water damage. I agree by signing this SCOPE WAIVER I fully understand this and will not hold HYDROStylz Hydrographics, a division of Myers' Ark, LLC, responsible for any damage to the scope.. Signed: _____________________________________ Printed Name: ________________________________ Date: _____________________________________ |
| HYDROStylz HYDROGRAPHICS |
| Please Mail Completed Form(s), Payment and Item(s) to: HYDROStylz Hydrographics 5926 CR 1750 West Plains, MO 65775 Phone: 417.293.3434 |
| ITEM(s) TOTAL (USD): $ _________________ Payment Method: _____ PayPal _____ Check _____ Money Order Wholesale Clients: Please contact us for payment instructions. |

