Dealer Application

Interested in becoming a dealer or online affiliate for First Breach’s world-class, match-grade products? Let’s get you started! Please fill out the application below and a First Breach representative will reach out to you within approximately 1 business day.

Point of contact:

OWNER OR AUTHORIZED REPRESENTATIVE *

TITLE

PRIMARY PHONE NUMBER *

EMAIL ADDRESS *

About your business:

LEGAL BUSINESS NAME *

DBA (IF APPLICABLE)

FEDERAL TAX ID (EIN) *

ADDRESS (STREET, CITY, STATE, ZIP) *

WEBSITE ADDRESS

NUMBER OF YEARS IN BUSINESS

Is current ownership the original ownership? If no, how many years has current ownership owned the business? *

Are you a brick & mortar store, online store, or both? *

If brick & mortar, how many locations?

What are the hours of operation?

Layout

Business Type? *

• Corporation
• Partnership
• Sole Proprietorship
• LLC (Limited Liability Company)

(Select one)

State or Country of Incorporation *

Has your business ever filed for bankruptcy? *

• Yes
• No

(Select one)

Store Size in Sq. Ft. (If Applicable)

Number of Employees

Percentage of annual sales from ammunition or reloading supplies

Estimated annual sales of First Breach products (USD)

Please provide the following documentation:

• Business W9 Form
• Resale Certificate
• Federal Firearms License(s) (if applicable)

Document Uploads

Click or drag files to this area to upload. You can upload up to 5 files.

Please check “I agree” if you agree with First Breach’s terms and conditions

Checkboxes *

• “I agree”

SEND

A representative of First Breach will be in touch within approximately 1 business day.