Cox's Gun
Shop
230 E. Main
Street
Millheim,
PA 16854
Phone (814) 349-5111
CoxsGunShop@yahoo.com
www.rmcsports.com
AMMUNITION
DISCLAIMER
I CERTIFY THAT
I AM AT LEAST 21 YEARS OF AGE, AND THAT NO FEDERAL,
STATE OR LOCAL
LAWS PRECLUDE ME FROM PURCHASING, POSSESSING
OR BEING
SHIPPED LIVE AMMUNITION.
Name:
____________________________
Address:
_________________________________
_________________________________
_________________________________
Daytime Phone
Number: _(
)________________
Signature:
_________________________________
Date: __________________
Please include
a legible copy of either your drivers license or State photo
ID.
You can Fax ,
email, or mail this information to us:
Call first to
(814)349-5111 to get our Fax Number
Email to: CoxsGunShop@yahoo.com OR Mail to:
Cox's Gun
Shop
PO Box
443
Millheim,
PA 16854
We will ship
your order as soon as we receive the required paperwork.
All
orders will be
shipped only to address on photo ID (or address on FFL if
you
are a
dealer).