Dealer Registration Form Who are you?(Required) Customer FFL Dealer FFL Upload(Required)Accepted file types: jpg, png, pdf, Max. file size: 512 MB.Your Order Number(Required) Please enter the order number this FFL is for. If you have not placed your order yet please do so then return to this form.Order Number If this sign up is for an active order, please enter the order number.FFL/Company Name(Required) FFL 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 Phone(Required)Your Email(Required) Enter Email Confirm Email In case we need to reach out about this FFL Submission.FFL Email(Required) Enter Email Confirm Email This is the email your dealer account will be created under. Once your account is approved you will receive an email with a temporary password.NameThis field is for validation purposes and should be left unchanged. Δ
