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Dealer Application

Fill the form out in its entirety, or the application will be discarded and you will need to start over with the process. Do not forget to go back to the dealer page that brought you here, and email or fax your FFL, or this will delay your access. You will be emailed with your login information once your account has been reviewed and FFL is received. All required fields are marked with a star (*). Click the 'Submit' button at the bottom of this form to proceed.

Contact Information

Company Name*

Street Address

City, State and Zip Code

Company Name on FFL

Full FFL Number

Telephone Number*

Fax Number*

Email Address*

Web Site Address*

Time Zone Business Is Located In

Comments

Persons Authorized To Place Orders:

Hours of Operation

Which Way Will You Provide Us With Your FFL?

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Kryptronic Internet Software Solutions