CMP UNIVERSAL ORDER FORM
CMP Sales Catalog - 2012 Issue II Reset Form
PURCHASE IDENTIFICATION
_________________________________________________________________________________________________________ Name: Print last, first and middle name Race Sex _________________________________________________________________________________________________________ Date of Birth (month, day, year) City/State of Birth Height Weight _________________________________________________________________________________________________________ Residence Street Address (not P.O. Box) City State Zip Code _________________________________________________________________________________________________________ Shipping Address (if different) City State Zip Code _________________________________________________________________________________________________________ Daytime Telephone Applicant Email Address Customer I.D. (if known) _________________________________________________________________________________________________________ Social Security No. (optional) Club/State Association
LIABILITY AGREEMENT/ NO-WARRANTY ACKNOWLEDGEMENT
In consideration for the approval of my application to purchase a rifle, parts, accouterments, ammunition and/or components through the Civilian Marksmanship Program, I hereby agree to: 1. Waive any claim against the corporation for the promotion of rifle practice of firearms safety, its directors, officers, employees, volunteers, agents and contractors (collectively, CPRPFS) for any personal injury, loss, damage or expense that I might incur arising from the use of this rifle, parts, accouterments, ammunition and/or components, and Defend, indemnify and hold the CPRPFS harmless from any claim of a third party arising from the use of this rifle, parts, accouterments, ammunition and/or components including any expense incurred by the CPRPFS in defending, investigating or settling such a claim.
2.
I agree that this agreement and legal issues arising from the sale of this rifle, parts, accouterments, ammunition and/or components to me shall be governed by the law of the state of Ohio; and that if any provision of the agreement or its application to any person or circumstance is held invalid or unenforceable, the remainder of this agreement or the application of such provision to other persons or circumstances shall be unaffected. I further agree that this agreement shall be binding upon my executors, administrators, trustees, personal representatives and assigns. I also acknowledge that the rifle which I am applying to purchase is a military surplus arm in used condition and is sold to me strictly AS IS, WITH NO WARRANTY EXPRESS OR IMPLIED. I understand that: 1. 2. This rifle may not function properly or be safe for me to use in the condition in which I receive it. This rifle is not to be fired until it has been disassembled and cleaned, thoroughly examined by a competent gunsmith familiar with its internal mechanism and safety features, and any unserviceable parts replaced or other deficiencies corrected. The use of ammunition that does not meet U.S. military standards in this rifle can be dangerous. Date
3.
Applicant Signature Applicant Name (please print)
NOTICE: We cannot process this order unless you complete, sign and submit pages 1A and 2A, and 3A, and the checklist on page 4A WITH EACH ORDER even if you are a repeat purchaser.
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CIVILIAN MARKSMANSHIP PROGRAM
CELEBRATING 109 YEARS OF MARKSMANSHIP
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CMP UNIVERSAL ORDER FORM
CMP Sales Catalog - 2012 Issue II
CERTIFICATION
I hereby certify under penalty of law that my name is: And I reside at: I further certify that I: a. b. c. d. e. f. g. h. i. j. am a citizen of the United states 18 years of age or older; am not under indictment in any court for a crime punishable by imprisonment for a term exceeding one year; have not been convicted of a crime punishable by imprisonment for a term exceeding one year; am not an unlawful user of, or addicted to, marijuana or any depressant, stimulant, or narcotic drug, or any other controlled substance; am not a fugitive from justice; have not been adjudicated mentally defective or committed to a mental institution; have not been discharged from the armed forces under dishonorable conditions; am not an alien illegally in the United states and I am not a non-resident alien; am not subject to a court order applicable to me under 18 U.S.C. 922(g)(8), restraining me from harassing, stalking, or threatening an intimate partner or child of such partner; have not been convicted in any court of a misdemeanor crime of domestic violence applicable to me under 18 U.S.C. 922(g)(9), including any misdemeanor conviction involving the use or attempted use of physical force committed by a current or former spouse, parent, or guardian of the victim or by a person with a similar relationship to the victim; will not be in violation, by reason of my receipt or possession of a rifle, of any state law or published ordinance applicable where I reside; have not been convicted of any federal or state felony or violation 18 U.S.C. 922, and am not a member of any organization that advocates the violent overthrow of the United states government. in the City of: and State of:
k. l.
I further certify that I am a current member of a gun club or state association presently affiliated with the CMP (or that I am a parent or guardian of a junior shooter under the age of 18 who is a member), and that I am purchasing this rifle for my (or my junior shooters) personal use. I hereby consent to allow the CMP to submit the information I have supplied with my application to the FBI national instant criminal background check system (NICS) to verify that I am not prohibited from buying this rifle, and I authorize the FBI to inform the CMP of the result. I acknowledge that this sale is further subject to final approval by the CMP within its sole and absolute discretion. Applicant Signature Date
State of Sworn to and subscribed before me this Notary Public:
County/City of day of My commission expires 20
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CIVILIAN MARKSMANSHIP PROGRAM
CELEBRATING 109 YEARS OF MARKSMANSHIP
www.TheCMP.org
CMP UNIVERSAL ORDER FORM
CMP Sales Catalog - 2012 Issue II
NOTE: Please make copies of this blank form for future use.
PURCHASER / SHIP TO INFORMATION
_________________________________________________________________________________________________________ Your Name Your Customer I.D. (if known) _________________________________________________________________________________________________________ Home Address City State Zip Code _________________________________________________________________________________________________________ Shipping Address (if different) City State Zip Code _________________________________________________________________________________________________________ Telephone Applicant Email Address Date _________________________________________________________________________________________________________ Club/State Association
ITEM
ITEM / QUANTITY INFORMATION
Item Description
Quantity
Price Each Total Price
0
0 0
0
0
0
SHIPPING AND HANDLING CHARGES
Rifles ..................................................................................Add $24.95 for each rifle ordered Barreled Receivers ......................................Add $14.95 for each barreled receiver ordered Barrels & Receivers ..................................... Add $9.95 for each barrel or receiver ordered Ammunition ......................................Add per case/can charges as shown in catalog listing Parts, Memorabilia, Publications ............................... Add $6.95 for orders under $100.00 Add $8.95 for orders $100.00 and over Alaska, Hawaii, Puerto Rico .........................................................Call for shipping charges
Subtotal 0
OH Residents add 6.75% AL Residents add 10%
Sales Tax
Shipping & Handling
Enter a gift amount
DONATE TO THE CMP TODAY!
The CMP is a federally chartered 501(c)(3) corporation that places its highest priority on serving youth through gun safety and marksmanship activities that encourage personal growth and build life skills. All donations are tax-deductible. If you would like to donate to the CMP, please fill in the amount in the box labeled Donations.
Donation Today!
Total 0
Personal checks are accepted.
Check or Money Order, No. Credit Card: Card No. Cardholders Signature
METHOD OF PAYMENT (COD orders NOT Accepted)
Visa Mastercard Discover
American Express Expiration Date
Completed order forms and payment should be mailed to: CMP Sales Dept, 1401 Commerce Blvd, Anniston, AL 36207
Your check will be deposited when the order is received. All orders shipped via FedEx, adult signature required. Please allow 30 days for delivery, unless otherwise specified for the item ordered. Prices subject to change without notice. We will notify customers of significant price changes before filling orders. Payment by personal check will delay order processing by up to 14 days over orders paid by credit card, money orders or cashiers checks. Credit cards are not charged until order is processed.
CIVILIAN MARKSMANSHIP PROGRAM
www.TheCMP.org
CELEBRATING 109 YEARS OF MARKSMANSHIP
3A
CMP UNIVERSAL ORDER FORM
CMP Sales Catalog - 2012 Issue II
To avoid delays in processing your order, please complete this checklist and submit it with pages 1A and 2A and 3A and the documentation specified in the ordering instructions.
Proof of U.S. Citizenship and Age.
CHECKLIST
(For acceptable documents, please see paragraph 1 on the Ordering Instructions pages). (Please see paragraph 2 on the Ordering Instructions pages).
Proof of Current Membership in a CMP Affiliated Organization. Proof of Participation in a Marksmanship or other Firearm Related Activity.
(Please see paragraph 3 on the Ordering Instructions pages).
Your State or locality requirements laws: Firearm Owners Identification Card (FOID) required for NJ and
IL. NJ residents must have rifles shipped to NJ state licensed dealer. Copy of dealers state license and shipping information must be provided with rifle orders. (Please see paragraph 4 on the Ordering Instructions pages).
Completed, signed and included Page 1A of this Order Form. This page provides with the information we need to
conduct the NICS background check and is also the Liability Agreement and No-Warranty Acknowledgement. This page is required each time you place an order with the CMP.
Completed, signed, and included Page 2A of this Order Form. Please be sure to complete the top section and sign
the certification each time you place an order with the CMP. Notary may not always be required. (Repeat customers, please see paragraph 6 on the Ordering Instructions pages.) also provides us with your payment information.
Completed, signed, and included Page 3A of this Order Form. This page tells us what items you are ordering and Payment in the form of personal check, cashiers check or money order unless payment is made by authorizing
credit card charges on Page 3A of this Order Form.
Send the competed Order Forms, your payment and all necessary enclosures to:
CMP SALES 1401 COMMERCE BOULEVARD ANNISTON, AL 36207
Regretfully, your order cannot be processed without submission of all of the items on this checklist. Failure to submit any required documents or information will result in substantial delay of your order.
REPEAT CUSTOMERS NOTE: If you have previously submitted proof of citizenship and age and proof of participation in marksmanship or other firearm related activity, you need not supply them each time you order, but we would appreciate you marking those items on this checklist as previously provided. The same applies to proof of membership in affiliated organizations, unless what you provided to us previously has expired, in which case a copy of a current club card must be provided with the order to avoid delays.
4A
Your assistance in completing this checklist is sincerely appreciated by the CMP staff.
CIVILIAN MARKSMANSHIP PROGRAM
CELEBRATING 109 YEARS OF MARKSMANSHIP
www.TheCMP.org
