PRECISION CARTRIDGE INC.
940 Georgiana Street
Hobart, Indiana  46342

PHONE 219-942-2400
FAX 219-947-3405
E-Mail pci@precisioncartridge.com


I am enclosing a photocopy of my Drivers License or Identification Card 

showing I am 21 years of age or older.  I further state, I am under no 

legal restrictions which would prohibit me from ordering, owning, 

possessing, or transferring handgun ammunition under applicable Federal, 

State, or Local law.


Note:
-----

1.  Illinois residents must include a copy of your F.O.I.D.


2.  Ammunition cannot be sold to minors, convicted felons, those convicted 

    of a misdemeanor crime of domestic abuse or those chemically dependent.


3.  Handgun ammunition cannot be shipped to the City of Chicago Illinois, 

    Los Angeles County California, Massachusetts, or Washington DC.



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