Name:

Name of Business(if applicable)

Are you a licensed FFL Holder?  Yes    No

URL of your Website(if applicable)

Daytime Phone Number:

Evening Phone Number:

Best Time to Contact You:

Email Address:

Item #1 for Brokerage:

Detailed Description:
(please give as detailed description as possible(manufacturer, year of production,
model, caliber, finish, stock type, overall condition, type of sights, any specific codes
or arsenal markings, historical value, etc.) GET SPECIFIC!!!!!!!

I authorize Urban Armory to sell the item listed above(each) for the
price of not including brokerage fees.

Optional:
Yes, I want this firearm(or accessory) to be featured on www.urban-armory.com as
firearm of the week.($20.00) We will list your firearm(or accessory) on the
main page of our web site for a period of 7 days. Urban Armory gets an average
of 300 hits every day by dealers, shooters, and collectors who are ready to buy.
What better way to captivate your audience and sell your merchandise?

Item #2 for Brokerage:

Detailed Description:
(please give as detailed description as possible(manufacturer, year of production,
model, caliber, finish, stock type, overall condition, type of sights, any specific codes
or arsenal markings, historical value, etc.) GET SPECIFIC!!!!!!!

I authorize Urban Armory to sell the item listed above(each) for the
price of not including brokerage fees.

Optional:
Yes, I want this firearm(or accessory) to be featured on www.urban-armory.com as
firearm of the week.($20.00) We will list your firearm(or accessory) on the
main page of our web site for a period of 7 days. Urban Armory gets an average
of 300 hits every day by dealers, shooters, and collectors who are ready to buy.
What better way to captivate your audience and sell your merchandise?

Item #1 for Brokerage:

Detailed Description:
(please give as detailed description as possible(manufacturer, year of production,
model, caliber, finish, stock type, overall condition, type of sights, any specific codes
or arsenal markings, historical value, etc.) GET SPECIFIC!!!!!!!

I authorize Urban Armory to sell the item listed above(each) for the
price of not including brokerage fees.

Optional:
Yes, I want this firearm(or accessory) to be featured on www.urban-armory.com as
firearm of the week.($20.00) We will list your firearm(or accessory) on the
main page of our web site for a period of 7 days. Urban Armory gets an average
of 300 hits every day by dealers, shooters, and collectors who are ready to buy.
What better way to captivate your audience and sell your merchandise?

By clicking on the button below, you authorize Urban Armory to act as a broker in the sale if the firearms listed above in accordace with our brokerage terms(please read). Remember, by submitting this information, you are NOT bound to any sales agreement of any type, but simply given the opportunity to sell your specific item at that time should you still choose to do so.