Individual Information

Name*

First Last

Email*

Dealer Account Type*

Dealer Locator*

The Dealer Locator is a tool on our website that allows customers to enter their zip code to find an FFL and/or SOT near them.

Additional Information

Business Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Business Type

State Incorporated

Years in Business

EIN

State Resale Permit

Business License Number

Business Description

Attach Documents*

Drop files here or

Accepted file types: jpg, pdf, png, jpeg, Max. file size: 50 MB, Max. files: 5.

Upload FFL and/or SOT licenses and resale certificates.