****ONLY required for Mail-In Orders!!!
**Online orders allow you to Electronically Agree to below during Check-Out.
I _________________certify that I am at least 21 years of age and that;
- I am a US Citizen and have never renounced my US Citizenship.
- No federal, state or local law prohibits me from purchasing, possessing or being shipped the ammunition, magazines, or other regulated items.
- I have not been convicted in any court of a crime punishable by imprisonment for a term exceeding one year.
- I am not a fugitive from justice and not an unlawful user of or addicted to any controlled substance (as defined in section 102 of the Controlled Substances Act (21 U.S.C. 802)).
- I have never been adjudicated as mentally defective or have been committed to a mental institution.
- I have not been discharged from the Armed Forces under dishonorable conditions.
- I have not been convicted in any court of a misdemeanor crime of domestic violence.
- I am not subject to a court order that restrains such person from harassing, stalking, or threatening an intimate partner or such person or child of such intimate partner or person, or engaging in other conduct that would place an intimate partner in reasonable fear of bodily injury to the partner or child; and includes a finding that such person represents a credible threat to the physical safety of such intimate partner or child; or by its terms explicitly prohibits the use, attempted use, or threatened use of physical force against such intimate partner or child that would reasonably be expected to cause bodily injury.
Printed Name: __________________________
****Scan/Email, Fax or Mail Documents.