Complete this statement before placing your first ammunition order. This, a photocopy of your ID and state issued license if applicable, must be received by mail, fax or email before we can process your requests. We will keep this on file for your future orders. All customers information is kept private.

Bonaduce Incorporated
P.O. Box 195884
Winter Springs, FL 32719
email: orders@polygunbag.com
Fax: (321) 972-6089

Ammunition Statement

NAME:

STREET ADDRESS:

CITY, STATE, ZIP:

PHONE:

EMAIL:

DATE OF BIRTH:

DRIVER'S LICENSE/STATE ID NUMBER AND STATE ISSUED:

SIGNATURE:

DATE:

I am 21 years of age or older and I hereby state that there are no Local, State, or Federal laws that prohibit me from purchasing or receiving this ammunition.

Please submit a clear photocopy of your driver's license/ID showing your address. We will only ship to that address.

NO Ammunition Sales to AK, CA (Los Angeles, Orange County, San Francisco), HI, Cook County IL, NY City, Washington DC or P.O. Boxes. NO sales to Massachusetts. No overnight shipping on ammunition. Ammunition is not returnable.

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