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Wanna Buy A Gun™- Concierge Gun Buying Service - Information Form For Firearm Recommendations Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
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Step
1
of 2
Intake Form
By completing this form, you'll receive personalized firearm recommendations based on your preferences and needs. These suggestions are intended to guide your research—they are not endorsements or guarantees. We strongly encourage all prospective buyers to physically handle and, if possible, test-fire any firearm they are considering before making a purchase. Receiving a recommendation from us does not obligate you to buy anything. However, we will provide quotes from Blackout Arms and Training to make the purchasing process as smooth and convenient as possible—should you choose to buy from us.
This form is used to gather information that will be used to assist you in finding the perfect firearm, and/or accessory!
Section 1: Personal Information
Name
*
First
Last
Date of Birth
Email
*
Phone
Is this a cell phone?
Yes
No
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
State of Residence (This is the state where your firearms transfer will take place. It must match your address!)
*
Are you legally eligible to purchase a firearm in your state?
*
Yes
No
Not Sure
Next
Baseline Questions
Section 2: Purpose of Purchase
What purpose(s) are you wanting a firearm for? (Check all that apply) :
*
Personal/Home Defense
Recreational Shooting (e.g., target practice)
Competitive Shooting
Hunting
Collecting
Other
Other reasons for wanting to purchase a gun:
Section 3: Firearm Preferences
What type of firearm are you looking for (Check all that apply):
*
A Semi-Automatic Handgun
A Revolver Handgun
A Semi-Automatic Rifle or PCC
A Bolt, Lever, or Pump Action Rifle
A Single Shot Break Action Rifle
A Pump, Lever, or Bolt Action Shotgun
A Semi-Automatic Shotgun
A Break Action Double Barrel Shotgun
A Break Action Single Shot Shotgun
Other Type of Firearm
I don't know
List other types of firearms you are looking for:
Do you have a preferred brand or model?
Yes
No preference
If Yes, what is your preference
Have you ever owned, or currently own a firearm?
*
Yes
No
If you checked that you own, or owned, a firearm, please check the type of firearm you own or owned (Check all that apply):
A Semi-Automatic Handgun
A Revolver
A Semi-Automatic Rifle
A Bolt, Pump, or Lever Action Rifle
A Single Shot Break Action Rifle
A Pump, Lever, or Bolt Action Shotgun
A Semi-Automatic Shotgun
A Break Action Double Barrel Shotgun
A Break Action Single Shot Shotgun
Other Type of Firearm
A brief description of the other type of gun you own:
3: own: hand
What is your experience level with firearms?
*
Novice (Beginner)
Intermediate
Advanced
Expert
Section 4: Budget & Accessories
What is your budget for this firearm purchase?
Under $500
Between $500 - $750
Between $750 - $1000
Between $1000 - $1500
Between $1500 - $2000
Over $2000
Are you interested in purchasing any accessories? (Check all that apply)
Ammunition
Holster
Optics (e.g., scopes, red dot sights)
Cleaning kit
Gun safe or lock
Other
If you selected "Other," what other accessories are you interested in purchasing?
Section 5: Legal & Safety Considerations
Do you currently hold any of the following? (Check all that apply)
Firearm Owner’s Identification Card (FOID)
Concealed Carry Permit
Hunting License
None of the above
Are you interested in firearm safety or training courses?
Yes
No
Maybe
Do you plan to carry your firearm outside your home or place of employment?
*
Yes
No
Not sure yet
How often do you anticipate "Live fire practicing" (going to a range) with your firearm?
*
More than once a month
Once a month
Once every other month
Once a quarter (Every 3 months)
A few times a year
Have really thought about it
Section 6: Additional Notes or Questions
Do you have any physical limitations that would prevent you from properly handling a firearm? (Example arthritis that prevents you from racking a hand gun, or a condition that limits your strength)
Yes
No
Not Sure
Explain your physical limitations in as much detail as you would like (This is not a required question)
Please share any specific questions, concerns, or preferences you have that you want us to know or consider when creating your recommendation quote:
Submit
Are you over 18 years of age?
No
Yes
✕
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