Firearm Transfer Request

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Your Information

• First Name *
• Middle Name *
• Last Name *
• Date of Birth *
• Place of Birth (City, State / Foreign County) *
• Are you a Citizen of the United States *YesNo
• Gender *MaleFemale
• Ethnicity *Hispanic or LatinoNot Hispanic or Latino
• Race *American Indian or Alaska NativeAsianAfrican AmericanNative Hawaiian or Other Pacific IslanderWhite
• Height *
• Weight *
• Virginia Drivers License Number *
• Issue Date *
• Expiration Date *
• Address *
• Email *
• Phone *

 

Shipper's Information

• Company Name *The is the company that you bought the firearm from.
• Sales Point of Contact This is the name of the person with whom the business was conducted. We use this to ensure that your firearm is better identified once received.
• Shipper Email Address *
• Phone

 

Firearm Information

• Number of Firearms *This is the number of firearms that you purchased and what we can expect to be delivered
• Firearm Manufacturer *The manufacturer of the firearm, for example ACME Tactical.
• Firearm Model *The model of the Firearm, for example the 1911.
• Firearm Caliber *The caliber of the firearm, for example 5.56, 9mm, 22LR.
• Invoice Number *The invoice number or the auction number.
• Special Instructions or Comments

 

Verification

• Please enter any two digitsExample: 12
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