FFL Transfer Form Hinterland Outfitters Phone: (877) 446-8370 Fax: (877) 929-8370 E-mail: ffl@hinterlandoutfitters.com

NOTE: Your local FFL dealer must provide us with a file copy of their FFL and this form in order for us to continue with your order. Please take them this form and have them fax a file copy of their FFL to us, along with this form.

Your online order number: ________________

Dealer Information (FFL dealer that will be receiving & transferring the firearm to the buyer):

Business Name: __________________________________________________________________

Address: _______________________________________________________________________

City: ______________________________ State: _________ Zip:__________

Phone Number: ____________________________ E-mail: ________________________________

Receiver Information (Buyer who is purchasing the gun):

Customer's Name: _________________________________________________________________

Address: ________________________________________________________________________

City: _____________________________ State: __________ Zip:___________

Phone Number: _____________________________ E-mail: ________________________________

I certify that all provided information is correct:

Purchaser's Signature: _____________________________________ Date:_________________

Note: A 15% restocking fee will be incurred on all returned firearms and the customer will be responsible for return freight charges. Any returned firearms must be unfired and in original new condition and packaging.

Office Use Only (We will fill this in)

Gun Manufacturer:__________________ Manufacturer Number:___________________

Serial Number: _________________