LIPSEY'S is the Nation's Leading Wholesale Firearms Distributor selling only to Federally Licensed Dealers. AIM HIGHER!

New Dealer? APPLY ONLINE         DEALER LOGIN

ONLINE ACCOUNT APPLICATION DOWNLOAD ACCOUNT FORMS

Securely send us the information needed to get your account up and running and become a Lipsey's Dealer!

Online Application

BUSINESS INFORMATION

Legal Business Name:  Required
DBA Business Name:  Required
Owner's Name:  Required
Website Address: 
E-Mail Address:  Required
Business Phone No:  Required
Business Fax No: 
 
Lipsey's Sales Representative: 
Required
 
Mailing Address:  Required
City, State:  , Required
Zipcode:  Required
 
Shipping Address:  Required
City, State:  , Required
Zipcode: Required
 
Form of Ownership: 
Required 




 
Business Location: 
Required 


 
Type of Business:  Required
Store Size:  Required
Operating Hours:  Required
Years at Current Location:  Required
Years in Business: 
Annual Total Sales: 
Firearms Sales %: 
Average # of Firearms Stocked:  Required
 
AP Contact Name:  Required
AP Phone No:  Required
AP Fax No: 
 
Have you (or a company you had ownership in) ever declared bankruptcy? Required


-if YES, please provide Year & Type:
 
Have you ever engaged in the retail sale of firearms under a different name? Required


-if YES, please provide name(s) and date(s) of operation:
 
Has any federal or state firearms license issued to you, your company,
or its predecessors been revoked, suspended, or subject of a lawsuit?
Required


-if YES, please explain:
 
Do you carry a policy of comprehensive general liability insurance? Required


-if YES, please provide name of insurer:
 
I agree to inform Lipsey's promptly of any change with respect to
any licensing requirements under which this business operates.
Required

 
I certify that I have disclosed all licenses required for
my business in the location(s) in which it operates.
Required

 

COMPANY PRINCIPAL(S)

Company Principal 1 Name:  Required
Home Address:  Required
City, State:  , Required
Zipcode:  Required
Position: 
% of Ownership: 
Home Phone No:  Required
Cell Phone No: 
Social Security No: 
 
Company Principal 2 Name: 
Home Address: 
City, State:  ,
Zipcode: 
Position: 
% of Ownership: 
Home Phone No: 
Cell Phone No: 
Social Security No: 

CHOOSE ACCOUNT TYPE - REQUIRED


BANK REFERENCE & BUSINESS REFERENCES

A Signed Bank Authorization Form is required to obtain reference information from your bank.
Check all references that apply. Please enter known account numbers next to business references.


Bank Name:  Required
Account Number:  Required
Bank Phone No:  Required

(please provide reference information)
Name:
Acct No:
Fax No:
(please provide reference information)
Name:
Acct No:
Fax No:

UPLOAD FILES & STORE PICTURES

Upload any digital files needed to open your account.
This includes your FFL license, store pictures, state business licenses, tax licenses, etc...
Select your files one at a time. You can upload up to 5 files.


Your selected files will appear here:


COMPLIANCE & PERSONAL GUARANTY

By submitting this form electronically, I/we hereby certify this information is true and correct and I/we authorize you to obtain such information as you require concerning this application, and agree that it shall remain your property whether or not an account has been opened or if credit is extended. I/we agree to indemnify and hold Lipsey's harmless from and against any and all actions, claims, proceedings and costs (including reasonable attorneys fees) arising from or related to the failure of any of the information provided herein to be true and correct. I/we agree to pay invoices in accordance with the terms of sale as stated on the invoice. In the event it becomes necessary to engage an attorney for purposes of collecting past due amounts, I/we agree to pay reasonable attorney fees of no less than 33 1/3% of the amount of the claim in addition to all of the fees and costs of collection. I/we understand that Lipsey's shall have the right at any time to terminate its business relationship with me/us and cease accepting product orders for any reason whatsoever. In addition, by signing below, I/we are in full compliance with all local, state and federal laws and regulations pertaining to the sale of firearms, and I/we agree to continue to be in compliance with all such laws and regulations.

Security Interest: Customer grants Lipsey's a purchase money security interest in any products sold to Customer on credit, and a first security lien right in all products purchased from Lipsey's to secure the payment of all amounts Customer owes Lipsey's. I/we hereby authorize Lipsey's to sign any document required to perfect Lipsey's security interest, including financing statements under the Uniform Commercial Code.

Signature of Applicant Required
Date Required

CONTINUING PERSONAL GUARANTY AGREEMENT

By submitting this form electronically, the undersigned (whether one or more, 'Guarantor') absolutely, unconditionally and solidarily guarantees the payment in full of any and all indebtedness of ('Customer'), to LIPSEY'S LLC., including all interest, attorney's fees, other fees and charges of whatsoever nature and kind, whether due or to become due, and whether now existing or hereafter arising without requiring any notice of non-payment, demand, dishonor or non-performance. Guarantor further agrees that in the event Guarantor does not pay LIPSEY'S LLC. and LIPSEY'S LLC. places its claim against Guarantor in the hands of an attorney for collection, Guarantor agrees to pay, in addition to the claims against Customer, reasonable attorney's fees of thirty-three and one-third (33 1/3%) percent of the amount of the claim in addition to all other fees and costs of collection. This agreement shall be governed by the laws of the State of Louisiana. Guarantor expressly understands and agrees that this guaranty agreement will remain in effect until written notice revoking it is delivered to LIPSEY'S LLC. and that revocation will only be effective as to charges incurred subsequent to such revocation. GUARANTOR DECLARES THAT GUARANTOR HAS READ THIS CONTINUING GUARANTY AGREEMENT AND HEREBY CONSENTS AND AGREES TO ITS TERMS AND CONDITIONS.

Guarantor
Date
Guarantor
Date




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