Ammo4guns.com
Ammunition Statement
Complete this statement before placing your first ammunition order. This must be received by mail, or fax before we can process your requests. We will keep this on file for future orders.
NAME: __________________________________________________________
STREET ADDRESS: _______________________________________________
CITY, STATE, ZIP: _________________________________________________
PHONE: (______)__________________________________________________
DATE OF BIRTH:______________
Driver's License / State ID #: State: ______________
Number: _____________________________
Please fax a copy of drivers license with your ammo statement
I am 18 years of age or older (21 years or older for handgun ammunition) and I hereby state that there are no Local, State, or Federal laws that prohibit me from purchasing ammunition.
All purchases will be shipped to the above address unless otherwise requested.
Please submit a photocopy of your identification with this form.
Date: ____/____/_____ Signature:_________________________________
Collector Rifle & Ammo INC.
1025 Route 82
(845)227-4100
fax (845) 227-7927
