Fax, E-mail, or Mail a copy of your State issued Drivers License or State Identification to verify date of birth along with this completed form. This must be received before, or at the time order is placed. If your State of Residence requires a separate state issued license to purchase ammunition, then a copy of this state issued document must be faxed before an order for ammunition will be processed. When faxing, mailing, or emailing your Ammunition order Requirements, please include your order number with license(s) copy.
DATE OF BIRTH______________________(Please enclose copy of Valid ID)
SIGNATURE_______________________________________________
PRINTED NAME____________________________________________
ADDRESS_________________________________________________
CITY_______________________STATE__________ZIP___________
PHONE (____)________________FAX (____)__________________
TODAY'S DATE____________________________________________
I hereby certify that I am of legal age to purchase handgun (21 Years Old) or rifle ammunition (18 Years Old), have never been convicted of a felony and there are no laws or regulations prohibiting me from purchasing or possesing ammunition in my state. Individual state regulations are ever changing, so it is the customer's responsibility to verify what ammunition they can pruchase and have shipped to them. Below are some sales restrictions that will apply, for other states please check with your local ATF office.