FIREARMS TRANSFER REQUEST
Please Provide Complete Information
COMPLETE, LEGAL NAME ( First, Middle, Last)
*
First
Middle (NMN if none)
Last
Phone Number
*
-
Area Code
Phone Number
Personal Email
*
example@example.com
Driver's License [DL] (If NOT current see the Documentation In Helpful Links of our Website.)
*
My DL Contains Current Address
My DL Does Not Contain Current Address
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Purchased from: (Select one)
*
Individual (Request DL pic)
Company (Actual FFL or Dealer)
Purchase Source Information (Actual Dealer or Individual):
*
Firearm (New or Used) Select One
*
New
Used
Specify firearm(s) to be transferred. NOTE: All Fields Required
*
Submit
Should be Empty: