LAW ENFORCEMENT/MILITARY ORDER FORM

Full Name*
First Last
Agency/Branch of Service*
Rank or Title*
Billing Address*
Street Address City State ZIP Code
Phone*
Model Being Purchased*
Price Per Model*
Purchasing Officer’s E-Mail*
Enter Email Confirm Email
Upload Copy of Credentials*
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Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 5.
Signature
FFL Name*
FFL Email Address
Enter Email Confirm Email
FFL Address*
Street Address City State ZIP Code
FFL Phone*
CAPTCHA
Consent*
Agreement
This statement, made under penalty of perjury, is certification that I am a law enforcement officer, serving in the military, or honorably discharged. I further certify that I have no convictions for misdemeanor crimes of domestic violence or domestic violence assault, and that this firearm is being purchased for personal use, and not for purposes of transfer or resale.
Phone
This field is for validation purposes and should be left unchanged.

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