FFL Licensee Name:
FFL Number:
FFL Expiration Date:
RadDatePicker
RadDatePicker
Open the calendar popup.
Business Name:
 
Company/Personal Phone:
Physical Company/Personal Address:
(Street, City, State, and Zip)
Mailing Company/Personal Address:
(If Different from Physical)
 
Email Address:
Fax Number:
 
Business Owner's Name:
(If Applicable)
 
Owner's Phone:
(If Applicable)
 
Business Owner's Address:
(If Applicable)
 
Are you an employee of a WV Law Enforcement Agency?
Would you like to have an Authorized Buyer Designation?
An Authorized Buyer is someone that is not named on the FFL and will be bidding on firearms. If the FFL holder attends and places a bid, an authorized Buyer is NOT required. A letter MUST be uploaded below, listing the name(s) of the authorized buyer, and signed by the FFL holder - if you plan to send someone to bid in your name.
Please upload a copy of your FFL license and, if required, your letter for any Authorized Buyers you have designated above.
Upload Documents (.png,.jpg,.jpeg,.gif,.pdf):
All Applications MUST Be Received Seven Days Prior To An Auction
By typing my name, I agree to the terms and conditions.
FFL Licensee Name:
Date:
RadDatePicker
RadDatePicker
Open the calendar popup.