Statement of eligibility to receive Ammo
Please print this form and complete it.

Fill out every field in the following form. We do NOT ship ammunition to Alaska, Hawaii, Massachusetts, New York, Cook County (Chicago) Illinois, APO/FPO addresses, or P.O. boxes. There is no overnight shipping on ammunition. Ammo is NOT returnable. Licensed firearm dealers do not need to complete this form. If we have a copy of your FFL license we can ship to your business.

I, ____________________________, am over 21 years of age. My date of birth is ____ / ____ / ________ (month/day/year). There are no federal, state, or local laws that prohibit me, the undersigned, from purchasing or receiving this ammunition.

SIGNATURE: ___________________________
DATE: ___________________

Fill out each blank on this form and send us a legible copy of your driver's license showing your name and address. After you complete this form, email a copy of your license with this form to . You can also fax the form and your license to us at (800) 804-5569.

We will keep a copy of your form so you can order more quickly in the future.