Dealer Application

Company information

Company name *

Exact legal business name (if different)

Other company name(s) / DBA

Applying as *

Type of ownership

Years in business

Additional months

Federal Tax ID / EIN *

D-U-N-S number (optional)

State of formation / incorporation

Date established (mm/yyyy)

Secretary of State filing #

Company phone *

Fax

Company email

Website

Do you own or lease your premises?

For how many years?

Physical address

No P.O. boxes — this must be the licensed premises.

Street address *

Suite / unit

City *

State *

ZIP *

Licensing & tax

No federal firearms licence is required to buy ammunition. If you hold an FFL, add it and we will verify it against ATF eZ Check — it is not a condition of approval. Attach your sales-tax exemption certificate for each state you are licensed in.

FFL number (optional)

FFL expiration (if you supplied a number)

Resale / tax-exempt certificate #

States you are licensed to do business in

Business information

Type of business

Do you specialise in a sport or product type?

Do you use purchase orders?

Buying group (if any)

Buying group member #

Do you have a road sales force?

How many?

Number of employees

Annual revenue / sales ($)

NAICS or SIC code

Have you or a principal held a CQT Ammo account before?

Under what business name?

When?

Requested terms

Requesting terms is not a guarantee of terms. Credit is decided separately, and approval of this application is not a dealer agreement.

Requested payment terms

If other, describe

Credit limit requested ($)

Estimated purchase volume with CQT ($)

Per

Primary contact

This person receives the sign-in invitation and owns the portal account.

Full name *

Work email *

Direct phone *

Title

Sales contact

Name

Phone

Accounts payable contact

Name

Phone

Billing address

Leave blank if the same as your physical address.

Street address

City

State

ZIP

Billing contact name

Direct phone

Ship-to address

Where shipments should go if different from your physical address. Further locations can be added once your account is open.

Store name / number

Street address

City

State

ZIP

Phone

Bank reference

Required only if you are requesting terms.

Name of bank

Account number

Branch address

Contact

Phone

Fax

Trade references

Suppliers you currently buy from. Needed only if you are requesting terms — three or more is usual.

Company	Account #	Phone	Fax

Authorisation

Your full legal name *

Your title *

This is not a contract. Approval of this application is not a dealer agreement and not an offer to sell; no authority to resell exists until an Authorized Dealer Agreement is signed by both parties. Applications are reviewed manually and accounts stay pending — with no pricing or ordering access — until approved. We verify every FFL against ATF eZ Check before activation.

If you are requesting credit terms, we will email you a personal guaranty to sign after this is submitted. It is a short separate form, and we deliberately do not collect Social Security numbers on this page.