Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 2Intake FormThis form is used to gather information that will be used to assist you in finding the perfect firearm, and/or accessory!Section 1: Personal InformationName *FirstLastDate of BirthEmail *PhoneIs this a cell phone?YesNoAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeState 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? *YesNoNot SureNextBaseline QuestionsSection 2: Purpose of PurchaseWhat purpose(s) are you wanting a firearm for? (Check all that apply) : *Personal/Home DefenseRecreational Shooting (e.g., target practice)Competitive ShootingHuntingCollectingOtherOther reasons for wanting to purchase a gun:Section 3: Firearm PreferencesWhat type of firearm are you looking for (Check all that apply): *A Semi-Automatic HandgunA Revolver HandgunA Semi-Automatic Rifle or PCCA Bolt, Lever, or Pump Action RifleA Single Shot Break Action RifleA Pump, Lever, or Bolt Action ShotgunA Semi-Automatic ShotgunA Break Action Double Barrel ShotgunA Break Action Single Shot ShotgunOther Type of FirearmI don’t knowList other types of firearms you are looking for:Do you have a preferred brand or model?YesNo preferenceIf Yes, what is your preferenceHave you ever owned, or currently own a firearm? *YesNoIf 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 HandgunA RevolverA Semi-Automatic RifleA Bolt, Pump, or Lever Action RifleA Single Shot Break Action RifleA Pump, Lever, or Bolt Action ShotgunA Semi-Automatic ShotgunA Break Action Double Barrel ShotgunA Break Action Single Shot ShotgunOther Type of FirearmA brief description of the other type of gun you own:What is your experience level with firearms? *Novice (Beginner)IntermediateAdvancedExpertSection 4: Budget & AccessoriesWhat is your budget for this firearm purchase?Under $500Between $500 – $750Between $750 – $1000Between $1000 – $1500Between $1500 – $2000Over $2000Are you interested in purchasing any accessories? (Check all that apply)AmmunitionHolsterOptics (e.g., scopes, red dot sights)Cleaning kitGun safe or lockOtherIf you selected "Other," what other accessories are you interested in purchasing?Section 5: Legal & Safety ConsiderationsDo you currently hold any of the following? (Check all that apply)Firearm Owner’s Identification Card (FOID)Concealed Carry PermitHunting LicenseNone of the aboveAre you interested in firearm safety or training courses?YesNoMaybeDo you plan to carry your firearm outside your home or place of employment? *YesNoNot sure yetHow often do you anticipate "Live fire practicing" (going to a range) with your firearm? *More than once a monthOnce a monthOnce every other monthOnce a quarter (Every 3 months)A few times a yearHave really thought about itSection 6: Additional Notes or Questions a Are required 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) YesNoNot SureExplain 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
