Ammunition Purchase Agreement
This form must accompany all ammunition orders.

***Please put Order Number
or Salesperson's Name Here***________________________________

G T Distributors is a Law Enforcement wholesaler who, by contract, is only authorized to sell to the Law Enforcement community. Due to this restriction, we must request you submit a signed copy of this form, which must be either faxed or mailed to us before we are able to complete your order.
  1. I am 21 years of age or older. DOB:
  2. I am not prohibited from owning this product because of a criminal background, drug use, protective orders, or any other legally binding reasons.
  3. My State, County, City or any other jurisdiction does not have laws restricting the purchase of this ammunition.
  4. I am a law enforcement officer, licensed security officer, or purchasing agent for a law enforcement or security agency.
  5. I also certify I am purchasing this ammunition for law enforcement or security use.



___________________________________
Print Name



___________________________________
Sign Name

  ______________________________
Email address

This _____ Date of ________________ 20_____



Please Return this form to:
Mail:
G T Distributors
Attn: Internet Orders
P.O. Box 16080
Austin, TX 78761-6080

Phone: 800-443-6283
Fax: 800-480-5845
Email: txsales@gtdist.com