Dealer Application Legal Business Name Doing Business As (DBA) Business Firearms License Number (BFL) Contact Email Contact Name Number of Years in Business Business Number Business Street Address Address 2 City Province/State Postal/Zip Code County —Please choose an option—CanadaUSAOther Business Phone Number Fax Website URL Type of Business (retailer, wholesaler, distributor, ecom, etc.) Number of Locations Approximate Annual Income By checking this box you are providing your digital signature hereby agreeing to the Terms and Conditions and that all above information is correct and accurate.