DEALER REGISTRATION Become a Dealer Q1. Is your place of business a retail store front?(Required) Yes No Q2. What best describes your business type?(Required) Conservation Group Full Line Sporting Goods Retailer Gun Shop Only Indoor Range With Retail Internet Only Pawn Shop Outdoor Range Other Q3. What is your product base?(Required) Firearms Ammunition Optics Accessories Fishing Camping Q4. What is the rough estimate of your average inventory value?(Required)Q5. Approximately how many firearms on display?(Required)Legal Name of Business(Required) Business Name Date Business Opened MM slash DD slash YYYY Business Owner Full Name(Required) Contact Name at Store Location(Required) Buyer Name Name Buyer Email(Required) Business Telephone Number(Required)Alternate Phone/Cell NumberFax NumberOwners Email Address(Required) Website Address Facebook Page URL FFL Number(Required) You must upload a copy of your FFL belowName On FFL(Required) SOT Number Bill To Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ship To Address Must match address on FFL(Required) Same as Bill To address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What are your requested Payment Terms?(Required) ACH/Credit Card Open Account FFL(Required)Accepted file types: jpg, png, pdf, Max. file size: 512 MB.SOTAccepted file types: jpg, png, pdf, Max. file size: 512 MB.Resale Certificate (If Applicable)Accepted file types: jpg, png, pdf, Max. file size: 512 MB.Additional InformationPlease ensure all information is correct.Consent(Required) I Accept Site Terms And Conditions
