MPC Sports

FFL Transfer Information Form

Order Number (if you know it)______________________________

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MPC Sports

1720 Epps Bridge Pkwy

Ste108, PMB 316

Athens, GA 30606

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Instructions:  Dealer is the FFL holder who will be receiving the gun for the buyer.  Receiver is the buyer who will ultimately own the gun.

Dealer Information:

Name: _______________________________________________________________________________

Address: _____________________________________________________________________________

City: _______________________________________ State:____________ Zip:____________________

Phone: ____________________________________________ FFL Attached: _______Yes _________No

Receiver Information:

Name: _______________________________________________________________________________

Phone: ___________________________________________________

Gun Type and Description

Circle One:  Handgun / Long Gun

Make                                     Model                                  Caliber______________________Accessories

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Note:  The dealer must include an "e;Original Signature"e; copy of their FFL with this document before we can transfer any firearm.