Transfer a Firearm
RequiredRequired Question(s)
Please fill out this form with as much detail as possible. If you have questions, email us at
Required 1.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
Address 1:
Address 2:
Postal Code:
Birth Day:
Birth Month:
Birth Year:

Shipper's Information 
Please provide valid contact information for the dealer who is shipping your transfer. We require a VALID email address to contact the dealer and exchange FFLs. Failure to provide the dealer's contact information will result in delays processing your transfer.

Required 2.

Company Name:


50 characters left.
Required 3.

Point of Contact (Who should we ask for when we contact them?)


50 characters left.
Required 4.

Shipper's Email Address:   


50 characters left.
Required 5.

Shipper's Phone Number:  


50 characters left.
Firearm Information
Required 6.
Firearm Type: 
Required 7.

Firearm Manufacturer:  


50 characters left.
Required 8.

Firearm Model:  


50 characters left.
Required 9.

Invoice Number:


50 characters left.

Special instructions or additional information:


350 characters left.