Instructions

Fill out the ENTIRE form and then click "Submit" at the bottom of the page.

* All fields in "Dealer Information" are required
* All fields except Fax in "Customer Information" are required.
* At least one set in the "Firearm Information" must be filled in.


CFLC # 20968

DEALER Information: (The dealer you are purchasing from)

Trade Name:
Address:
City: State: Zip Code:
Phone #:
Fax #:
Email:


CUSTOMER Information: (You)

Full Name:
Address:
City: State: Zip Code:
Phone #:
Fax #:
Email:


FIREARM Information:

Auction/Reference #:
Make:
Model:
Caliber:
 
Auction/Reference #:
Make:
Model:
Caliber:

 

Don't forget to press submit!