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Dealerease® Firearm Transfer Form

 Business Information: 
Customer Number
(If known) :
Company Name :
Contact Name :
Address 1 :
Address 2 :
City :
State :
Zip : #####-####
Phone : ###-###-####
Fax : ###-###-####
   
E-Mail Address :
Business Hours :

 FFL Status: 

My FFL status is (Please check one):

Current
Not Current (I am mailing you a current copy)
Unknown (I am mailing you a current copy)

Please mail FFL to: 
Green Supply
Attn: Dealerease Transfer
3059 Audrain Road 581
Vandalia, MO 63382

 Transfer Fee Information: 
Handguns (Please check one):

No Charge
$10.00
$25.00
Other:
 		Long Guns (Please check one):

No Charge
$10.00
$25.00
Other:
 

 Transfer Method: 

How would you like us to ship firearms to you?  Please choose one:
Fastest Methods
(Most Preferred):		 Automatically ship and notify me via Email
Automatically ship and notify me via Phone
Automatically ship and notify me via Email and Phone
Slow Methods
(May Cause Delays):		 Email me for my permission before shipping
Call me for my permission before shipping
Email and Call me for my permission before shipping
 
   
I have read and agree to the terms and conditions of the AUP.
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