TO: HDS SPORTS55 Hatch Farm RoadBristol, ME 04539Fax #: 207-563-8815Email: email@example.comDATE:
AMMO RELEASE STATEMENT
I, , am over the age of 21 years. My birthday is . There are no federal, state or local laws that prohibit me, the undersigned, from purchasing or receiving this ammunition.
This document MUST be dated and signed.) We must have a clear copy of your dirver's license showing your address and date of birth. The above statement may be faxed to us at 207-563-8815 or emailed to firstname.lastname@example.org.