Military / Veteran / Law Enforcement Registration Form

LEGAL BUSINESS NAME (AS SHOWN ON FFL) *

TRADE NAME *

PREMISE/SHIPPING ADDRESS *

PREMISE ADDRESS LINE 2 

PREMISES TOWN/CITY *

PREMISES STATE *

PREMISES COUNTRY *

PREMISES ZIP / POSTAL CODE *

BILLING ADDRESS *

BILING ADDRESS LINE 2 

BILLING TOWN / CITY *

BILLING STATE / COUNTRY *

Select a country / region…American SamoaGuamNorthern Mariana IslandsPuerto RicoUnited States (US)Virgin Islands (US)

Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)

BILLING ZIP / POSTAL CODE *

CONTACT FIRST NAME *

CONTACT LAST NAME *

CONTACT EMAIL *

DEALER PHONE NUMBER *

DO YOU HAVE A BRICK & MORTAR STOREFRONT? *

YES

NO

DO YOU INTEND TO STOCK 5 OR MORE FOLDAR PRODUCTS? *

YES

NO

SUPPORTING DOCUMENTS *

FEDERAL FIREARMS LICENSE (Required)

SPECIAL OCCUPATIONAL TAX

TAX RESELL CERTIFICATE (Required for Tax Exemption)

UPLOADS - FFL (REQUIRED) *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

UPLOADS - SOT 
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

UPLOADS - TAX CERT 
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

DEALER APPLICATION AGREEMENT TERMS & CONDITIONS [SEE BELOW] *

I've read and agree to the dealer terms & conditions below this form

VerifyPass CODE *

FIRST NAME *

LAST NAME *

CONTACT EMAIL *

DIRECT PHONE # *

MILITARY BRANCH OR LE DEPARTMENT *

SHIPPING ADDRESS *

SHIPPING ADDRESS LINE2 

CITY *

STATE *

COUNTRY *

ZIP CODE *

BILLING ADDRESS *

ADDRESS LINE 2 

BILLING CITY 

COUNTRY / STATE *

Select a country / region…American SamoaGuamNorthern Mariana IslandsPuerto RicoUnited States (US)Virgin Islands (US)

Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)

ZIP CODE *