Dealer Registration

The role of the created user set to the default role. Only an administrator can register a user with the role assigned to this form.

Dealer Information
Dealer Name*
Physical Address* Please input your address as follows: Address Line 1, Address Line 2 (If Applicable), City, State, Zip
Username*
First Name
Last Name
Do you have an SOT?
Do you currently sell suppressors in your shop?*
Please attach a copy of your SOT:*
Please attach a copy of your FFL*
Please attach an exterior photo of your shop:*
Please attach an interior photo of your shop:*
Contact Information
Phone Number* Required phone number format: (###) ###-####
E-mail*
Website
Password*
Minimum length of 8 characters.
The password must have a minimum strength of MediumStrength indicator
Repeat Password*
Dealer Type*

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