Ammo4guns.com
Ammunition Statement
Complete this statement with invoice number before placing your ammunition order. This must be received by mail or fax before we can process your requests.
NAME: __________________________________________________________
STREET ADDRESS: _______________________________________________
CITY, STATE, ZIP: _________________________________________________
PHONE: (______)__________________________________________________
DATE OF BIRTH:______________
Driver's License / State ID #: State: ______________
Number: _____________________________INVOICE #___________
Please fax a copy of drivers license with your ammo statement/order contract.
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 by Fed Ex, adult signature required, unless otherwise requested. Customer will be responsible for shipping charges on all refusals and cancellations.
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