First name *

Last name *

Street address *

Apartment, suite, unit, etc. (optional) (optional)

Phone *

Email address *

Date of birth *

Select Option *Firearm Cleaning fee (+$100.00)Bringing own Firearm

Drivers license *

I authorize TDI to run a comprehensive background check on the purchaser *

I confirm that I am not a convicted felon or otherwise prohibited from handling firearms *

I am a US citizen or Permanent US resident. * Yes No