CMC Beretta First Responder Personal Purchase Program

Transcription

1 CMC Beretta First Responder Personal Purchase Program CMC Government Supply recognizes the importance of supporting and assisting the individual law enforcement or security officer and other qualified first responders with this special discount purchasing program. CMC Government Supply offers special discount pricing as a way of assisting federal agents, individual law enforcement and/or security officers, military personnel and qualified first responders to purchase their individual firearms. All firearms purchased on this program are not eligible for any other discounts or rebates. Qualified purchasers for this program include: All sworn Law Enforcement Officers, including city, county, and state All Federal Law Enforcement Officers All Corrections Officers, including Parole and Probation Officers All retired Law Enforcement Officers with retired credentials State licensed Security Company Officers State Licensed Para-Medics and EMTs Fire Fighters (including volunteers) Court Judges District Attorneys and Deputy District Attorneys Active U.S. Military personnel all branches Retired U.S. Military personnel all branches HOW TO ORDER OPTION 1 - Sworn Law Enforcement Officers Only: IF YOU ARE A LAW ENFORCEMENT OFFICER WHO WISHES TO ACQUIRE HIS OR HER FIREARM THROUGH A FEDERAL FIREARMS LICENSEE RATHER THAN THROUGH YOUR LAW ENFORCEMENT AGENCY OR IF YOU LIVE IN THE STATES OF CALIFORNIA, CONNECTICUT, MARYLAND, MISSOURI, NEW YORK, NEW JERSEY, PENNSYLVANIA, OR VIRGINIA, YOU SHOULD DISREGARD THIS SECTION and go to option 2. MAKE SURE THE SPECIFIC FIREARM AND MAGAZINES YOU WANT TO PURCHASE ARE LEGAL TO OWN IN YOUR AREA. Once a firearm has been ordered and assigned to you they cannot be returned. Most local licensed firearms dealers can advise you. CMC cannot tell you if any of the Beretta firearms are legal to own anywhere in the United States except for Texas. You can submit a completed order form (attached) with your payment, a legible copy of the front and back of your Drivers License and the front and back of your Federal or State Police Commission ID, an original signed Individual First Responder or Military / Federal Officer Verification form (attached) and an original signed Purchase Authorization Letter (see attached sample PAL) signed by you and a department designated person of authority (POA) on official department letterhead, and we can ship your firearm directly to you at your official department address. No additional paperwork is required. DO NOT FAX DOCUMENTS TO US. WE NEED ORIGINAL COPIES AND SIGNATURES for ALL DOCUMENTS Keller Springs Road Suite 522 Dallas, Texas Telephone: (972) FAX: (214)

2 OPTION 2 - Any qualified purchaser listed above, including sworn law enforcement officers: You can submit a completed and signed order form (attached) with your payment, a signed copy of your firearms dealers FFL, a legible copy of the front and back of your Driver s License, an original signed Individual First Responder or Military / Federal Officer Verification form (attached) and the front and back of your Federal or State Issued ID and credentials. DO NOT FAX DOCUMENTS TO US. WE NEED ORIGINAL COPIES AND SIGNATURES for ALL DOCUMENTS. Federal law requires us to transfer this firearm to a Federal Firearms Licensed dealer in your area for delivery to you. Most pawn shops or local gun stores will provide this service to Law Enforcement free or for a small fee to process the paperwork and background check as required by law. The process is simple: 1) MAKE SURE THE SPECIFIC FIREARM AND MAGAZINES YOU WANT TO PURCHASE ARE LEGAL TO OWN IN YOUR AREA. Once a firearm has been ordered and assigned to you they cannot be returned. Most local licensed firearms dealers can advise you. CMC cannot tell you if any of the Beretta firearms are legal to own anywhere in the United States except for Texas. 2) Locate a local pawn shop or gun store we can ship your firearm purchase to. Get a clean, legible signed copy of their current Federal Firearms License. We can only ship your purchase to the address on the FFL. (Make sure you send us a copy of their FFL that has been signed by the same person who signed the original FFL. DO NOT SEND A COPY OF THE SIGNED FFL. WE MUST HAVE AN ORIGINAL SIGNATURE ON THE COPY OF THE FFL. Some FFL dealers may prefer to send us their FFL directly. This is OK, provided they also send us a copy of your ID, credentials and other required documents with it. You can send it to us via regular US Mail, FedEx or UPS overnight or it to us per the instructions below. DO NOT FAX IT TO US. WE NEED ORIGINAL COPIES AND SIGNATURES for ALL DOCUMENTS. 3) Complete and sign the attached order form. 4) Return the order form with your payment, a legible copy of your Drivers License and the front and back of your State Police Commission ID and a signed copy of your local gun dealer's signed FFL to us and we will process and ship your order to the dealer for delivery to you. DO NOT FAX IT TO US. WE NEED ORIGINAL COPIES AND SIGNATURES for ALL DOCUMENTS.

3 BERETTA BLUE LABEL FIRST RESPONDER PROGRAM PRICE LIST CMC Government Supply January 1, 2018 All Pistols come with 3 Magazines Handguns APX JAXF922 APX Full Size 9mm " Striker Nitride/Polymer $ JAXF923 APX Full Size 9mm " Striker Nitride/Polymer $ JAXF924 APX Full Size Night Sights 9mm " Striker Nitride/Polymer $ JAXF925 APX Full Size Night Sights 9mm " Striker Nitride/Polymer $ JAXF926 APX Full Size HD Sights 9mm " Striker Nitride/Polymer $ JAZF927 APX Full Size HD Sights 9mm " Striker Nitride/Polymer $ JAXF92270 APX 9mm 3-10RD Red Dot 9mm " Striker Nitride/Polymer $ JAXF92370 APX 9mm 3-17RD Red Dot 9mm " Striker Nitride/Polymer $ JAXF422 APX Full Size.40 S&W " Striker Nitride/Polymer $ JAXF423 APX Full Size.40 S&W " Striker Nitride/Polymer $ JAXF424 APX Full Size Night Sights.40 S&W " Striker Nitride/Polymer $ JAXF425 APX Full Size Night Sights.40 S&W " Striker Nitride/Polymer $ JAXF426 APX Full Size HD Sights.40 S&W " Striker Nitride/Polymer $ JAXF427 APX Full Size HD Sights.40 S&W " Striker Nitride/Polymer $ JAXF42270 APX 40cal 3-10RD Red Dot.40 S&W " Striker Nitride/Polymer $ JAXF42370 APX 40cal 3-15RD Red Dot.40 S&W " Striker Nitride/Polymer $ Handguns 90 Series JS92F630 92FS Police Special 9 mm " Dbl/Sngl Bruniton/Plastic $ JS92F610 92FS Police Special 9 mm " Dbl/Sngl Bruniton/Plastic $ J92M9A0MLE M9 Commercial 9 mm " Dbl/Sngl Bruniton/Plastic $ J92M9A0LE M9 Commercial 9 mm " Dbl/Sngl Bruniton/Plastic $ JS92M9A1MLE M9A1 9 mm " Dbl/Sngl Bruniton/Plastic $ JS92M9A1LE M9A1 9 mm " Dbl/Sngl Bruniton/Plastic $ J92M9A3M M9A3-F, Safety/De-cocker, Night Sights 9 mm " Dbl/Sngl Cerakote / Plastic $ J92M9A3 M9A3-F, Safety/De-cocker, Night Sights 9 mm " Dbl/Sngl Cerakote / Plastic $ J92M9A3GM M9A3-G, De-cocker Only, Night Sights 9 mm " Dbl/Sngl Cerakote / Plastic $ J92M9A3G M9A3-G, De-cocker Only, Night Sights 9 mm " Dbl/Sngl Cerakote / Plastic $ JS92F520MLE 92FS INOX 9 mm " Dbl/Sngl Stainless/Plastic $ JS92F520LE 92FS INOX 9 mm " Dbl/Sngl Stainless/Plastic $ J9A9F10LE 92A1 9 mm " Dbl/Sngl Bruniton/Plastic $ J9A9F11LE 92A1 9 mm " Dbl/Sngl Bruniton/Plastic $ J9A9F14 92A1, Night Sights 9 mm " Dbl/Sngl Bruniton/Plastic $ J9A4F10LE 96A1.40 S&W " Dbl/Sngl Bruniton/Plastic $ J9A4F11LE 96A1.40 S&W " Dbl/Sngl Bruniton/Plastic $ J9A4F14 96A1, Night Sights.40 S&W " Dbl/Sngl Bruniton/Plastic $ Handguns 90 Series Compact J90C9F12 92FS Compact (Type M9A1), Rail, Bruniton 9 mm " Dbl/Sngl Bruniton/Plastic $ J90C9F14 92FS Compact (Type M9A1), Rail, Bruniton Night Sights 9 mm " Dbl/Sngl Bruniton/Plastic $ J90C9F22 92FS (Type M9A1), Compact, Rail, INOX 9 mm " Dbl/Sngl Stainless/Plastic $ J90C9F23 92FS (Type M9A1), Compact, Rail, INOX 9 mm " Dbl/Sngl Stainless/Plastic $ Handguns Px4 Storm Sub Compact JXS9F23 Px4 Storm, Type F, Sub-Compact 9 mm " Dbl/Sngl Bruniton/Polymer $ JXS9F24 Px4 Storm, Type F, Sub-Compact, Night Sights 9 mm " Dbl/Sngl Bruniton/Polymer $ JXS4F22 Px4 Storm, Type F, Sub Compact.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXS4F28 Px4 Storm, Type F, Sub-Compact, Night Sights.40 S&W " Dbl/Sngl Bruniton/Polymer $ Handguns Px4 Storm Compact JXC9F23 Px4 Storm, Type F, Compact 9mm " Dbl/Sngl Bruniton/Polymer $ JXC9F24 Px4 Storm, Type F, Compact, Night Sights 9mm " Dbl/Sngl Bruniton/Polymer $ JXC4F23 Px4 Storm, Type F, Compact.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXC4F24 Px4 Storm, Type F, Compact, Night Sights.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXC9GEL Px4 Storm Compact Carry, Type G, Night Sights 9mm " Dbl/Sngl Bruniton/Polymer $ Handguns Px4 Storm Full Size JXF9F23 Px4 Storm, Type F, Full Size 9 mm " Dbl/Sngl Bruniton/Polymer $ JXF9F24 Px4 Storm, Type F, Full Size, Night Sights 9 mm " Dbl/Sngl Bruniton/Polymer $ JXF9F20LE Px4 Storm, Type F, Full Size 9 mm " Dbl/Sngl Bruniton/Polymer $ JXF4F23 Px4 Storm, Type F, Full Size.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXF4F24 Px4 Storm, Type F, Full Size, Night Sights.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXF4F20LE Px4 Storm, Type F, Full Size.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXF5F26 Px4 Storm, Type F, Full Size.45 ACP " Dbl/Sngl Bruniton/Polymer $ JXF9G23 Px4 Storm, Type G, Full Size, De-Cocker Only 9 mm " Dbl/Sngl Bruniton/Polymer $ JXF4G23 Px4 Storm, Type G Full Size, De-Cocker Only.40 S&W " Dbl/Sngl Bruniton/Polymer $ JXF4G24 Px4 Storm, Type G, Full Size, De-Cocker Only, Night Sights.40 S&W " Dbl/Sngl Bruniton/Polymer $ January 1, 2018 CMC Government Supply 1 of 2

4 Handguns Nano Series JMN9S55LE Nano, Flat Dark Earth, 2-6 RD/1-8 RD Mags 9 mm 6 / " Striker Nitride/Polymer $ JMN9S58LE Nano, Flat Dark Earth, Night Sights, 2-6 RD/1-8 RD Mags 9 mm 6 / " Striker Nitride/Polymer $ JMN9S15LE Nano, Black, 2-6 RD/1-8 RD Mags 9 mm 6 / " Striker Nitride/Polymer $ JMN9S18LE Nano, Black, Night Sights, 2-6 RD/1-8 RD Mags 9 mm 6 / " Striker Nitride/Polymer $ JMN9S15CTCLE Nano, Black, 2-6 Rd, 1-8 Rd w/ 3 DOT CTC Laser 9 mm 6 / " Striker Nitride/Polymer $ Handguns Pico Series JMP8D26LE Pico, Black.380 ACP " Double Inox/ Black Polymer $ JMP8D28LE Pico, Black, Night Sights.380 ACP " Double Inox/ Black Polymer $ Shotguns 1301 Tactical CHOKE J131T18NLE 1301 Tactical, Semi-Auto, Standard Stock 12 Gauge " Fixed/Cylinder Matte Black $ J131P18NLE 1301 Tactical, Semi-Auto, Pistol Grip Stock, Mag Tube Ext., Rail & Sling Attachments 12 Gauge " Fixed/Cylinder Matte Black $ 1, Patrol Rifle ARX100 RATE OF TWIST JXR11B00LE ARX100, Semi-Auto 5.56 mm 30 16" 1/7" Matte Black $ 1, JXR11A00LE ARX100 SBR, Semi-Auto 5.56 mm " 1/7" Matte Black $ 1, BOLT RIFLES (Long Range) TIKKA RATE OF TWIST JRTXC316 T3x Compact Tactical (5/8" x 24 thread).308 Win 10 20" 1/11" Black/Black $ JRTXM116 T3x TAC (M18 x 1 thread).308 Win 5 20" 1/11" Black/Black $ 1, JRTAC316SB T3x TAC A1 (M18 x 1 thread).308 Win 10 16" 1/11" Black/Black $ 1, JRTAC316LE T3x TAC A1 (5/8" x 24 thread).308 Win 10 20" 1/11" Black/Black $ 1, JRTAC382L T3x TAC A1 (5/8" x 24 thread) 6.5 CM 10 24" 1/8" Black/Black $ 1, BOLT RIFLES (Long Range) SAKO M10 - Special Order - RATE OF TWIST JRS321RBL2 TRG M10, Right Folding Stock, 30 MOA.308 Win 11 20" 1/11" Black/Black $ 10, JRS321RTL2 TRG M10, Right Folding Stock, 30 MOA.308 Win 11 20" 1/11" Coyote Brown/Black $ 10, JRS353RTL2 TRG M10, Right Folding Stock, 30 MOA.338 LM 8 27" 1/10" Coyote Brown/Black $ 10, JRS341RBL2 TRG M10, Right Folding Stock, 30 MOA.308 Win 11 26" 1/11" Black/Black $ 10, JRS341RTL2 TRG M10, Right Folding Stock, 30 MOA.308 Win 11 26" 1/11" Coyote Brown/Black $ 10, JRS311RTL2 TRG M10, Right Folding Stock, 30 MOA.308 Win 11 16" 1/11" Coyote Brown/Black $ 10, JRS311LTL2 TRG M10, Left Folding Stock, 30 MOA.308 Win 11 16" 1/11" Coyote Brown/Black $ 10, JRS352RBL2 TRG M10, Right Folding Stock, 30 MOA.300 Win Mag 11 27" 1/11" Black/Black $ 10, JRS352RTL2 TRG M10, Right Folding Stock, 30 MOA.300 Win Mag 11 27" 1/11" Coyote Brown/Black $ 10, JRS332RTL2 TRG M10, Right Folding Stock, 30 MOA.300 Win Mag " 1/11" Coyote Brown/Black $ 10, JRS353RBL2 TRG M10, Right Folding Stock, 30 MOA.338 LM 8 27" 1/10" Coyote Brown/Black $ 10, JRS353RTL1 TRG M10, Left Folding Stock, 20 MOA.338 LM 8 27" 1/10" Coyote Brown/Black $ 10, JRS323RTL2 TRG M10, Left Folding Stock, 30 MOA.338 LM 8 20" 1/10" Coyote Brown/Black $ 10, BOLT RIFLES (Long Range) SAKO TRG 22/42 RATE OF TWIST JRSM716 TRG 22, Fixed Stock, Picatinny Rail (SPECIAL ORDER).308 Win 10 20" 1/11" Desert Tan $ 2, JRSM816 TRG 22, Folding Stock, Picatinny Rail (SPECIAL ORDER).308 Win 10 20" 1/11" Desert Tan $ 4, JRSW116 TRG 22, Fiixed Stock, Picatinny Rail.308 Win 10 26" 1/11" Black $ 2, JRSW716 TRG 22, Fixed Stock, Picatinny Rail.308 Win 10 26" 1/11" Green $ 2, JRSW516 TRG 22, Fixed Stock, Picatinny Rail.308 Win 10 20" 1/11" Green $ 2, JRSW316 TRG 22, Fixed Stock, Picatinny Rail.308 Win 10 20" 1/11" Black $ 2, JRSW616 TRG 22, Folding Stock, Picatinny Rail.308 Win 10 20" 1/11" Green $ 4, JRSM744 TRG 42, Fixed Stock, Picatinny Rail.338 LM 5 27" 1/10" Green $ 3, JRSW644 TRG 42, Folding Stock, Picatinny Rail.338 LM 5 20" 1/10" Green $ 5, JRSM844 TRG 42, Folding Stock, Picatinny Rail.338 LM 5 20" 1/10" Desert Tan $ 5, JRSW344 TRG 42, Fixed Stock, Picatinny Rail.338 LM 5 27" 1/10" Black $ 3, BOLT RIFLES (Long Range) SAKO TRG 22/42 - Special Order - RATE OF TWIST JRS111FBA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 20" 1/11" Black $ 7, JRS111FTA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 20" 1/11" Desert Tan $ 7, JRS111FGA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 20" 1/11" Green $ 7, JRS111FBM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 20" 1/11" Black $ 8, JRS111FTM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 20" 1/11" Desert Tan $ 8, JRS111FGM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 20" 1/11" Green $ 8, JRS121FBA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 26" 1/11" Black $ 7, JRS121FTA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 26" 1/11" Desert Tan $ 7, JRS121FGA TRG 22, Right Folding Stock, Picatinny Rail, ITRS.308 Win 10 26" 1/11" Green $ 7, JRS121FBM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 26" 1/11" Black $ 8, JRS121FTM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 26" 1/11" Desert Tan $ 8, JRS121FGM TRG 22, Right Folding Stock, Picatinny Rail, MMRS.308 Win 10 26" 1/11" Green $ 8, JRS111SBC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 20" 1/11" Black $ 5, JRS111STC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 20" 1/11" Desert Tan $ 5, JRS111SGC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 20" 1/11" Green $ 5, JRS121SBC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 26" 1/11" Black $ 5, JRS121STC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 26" 1/11" Desert Tan $ 5, JRS121SGC TRG 22, Fixed Stock, Picatinny Rail, MITRS.308 Win 10 26" 1/11" Green $ 5, JRS232FBM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.300 Win Mag 7 27" 1/11" Black $ 9, JRS232FTM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.300 Win Mag 7 27" 1/11" Desert Tan $ 9, JRS232FGM TRG 42,Right Folding Stock, Picatinny Rail, MMRS.300 Win Mag 7 27" 1/11" Green $ 9, JRS232SBC TRG 42, Fixed Stock, Picatinny Rail, MITRS.300 Win Mag 7 27" 1/11" Black $ 5, JRS232STC TRG 42, Fixed Stock, Picatinny Rail, MITRS.300 Win Mag 7 27" 1/11" Desert Tan $ 5, JRS232SGM TRG 42, Fixed Stock, Picatinny Rail, MITRS.300 Win Mag 7 27" 1/11" Green $ 5, JRS213FGM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.338 LM 5 20" 1/10" Green $ 9, JRS213FBM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.338 LM 5 20" 1/10" Black $ 9, JRS213FTM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.338 LM 5 20" 1/10" Desert Tan $ 9, JRS233FTA TRG 42, Right Folding Stock, Picatinny Rail, ITRS.338 LM 5 27" 1/10" Desert Tan $ 6, JRS233FGA TRG 42, Right Folding Stock, Picatinny Rail, ITRS.338 LM 5 27" 1/10" Green $ 6, JRS233FTM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.338 LM 5 27" 1/10" Desert Tan $ 9, JRS233FGM TRG 42, Right Folding Stock, Picatinny Rail, MMRS.338 LM 5 27" 1/10" Green $ 9, JRS233SBC TRG 42, Fixed Stock, Picatinny Rail, MITRS.338 LM 5 27" 1/10" Black $ 6, JRS233STC TRG 42, Fixed Stock, Picatinny Rail, MITRS.338 LM 5 27" 1/10" Desert Tan $ 6, JRS233SGC TRG 42, Fixed Stock, Picatinny Rail, MITRS.338 LM 5 27" 1/10" Green $ 6, January 1, 2018 CMC Government Supply 2 of 2

5 SAMPLE PURCHASE AUTHORIZATION LETTER (PAL) The following wording and format must be copied exactly on your AGENCY, DEPARTMENT or OFFICE LETTERHEAD. The original PAL submitted to CMC Government Supply must have original signatures in BLUE INK. Copies, faxed copies, rubber signature stamps or signature copies are NOT permitted. Date CMC Government Services, Inc. dba CMC Government Supply Attention: Law Enforcement Firearms Sales 5200 Keller Springs Road Suite 522 Dallas, Texas To Whom It May Concern: Section 1 I, (Full Name of officer and Badge #) hereby certify under penalty of perjury that I am a law Enforcement officer that the weapon listed below is being purchased is for use in performing my official duties and that the weapon is being acquired for personal use and not for transfer or resale. Manufacturer Model Caliber Type of Sights Signature of Officer Badge # Date Date of Birth Driver License # Officers Phone # Section 2 I, (Full Name of department designated person of authority (POA) and Badge #) hereby certify under penalty of perjury that I am the supervisor of the above listed purchasing officer, that the purchasing officer is acquiring the weapon for use in official duties, that the weapon are suitable for use in performing official duties, and that the weapon is being acquired for personal use but not for purposes of transfer or resale. I also certify that a records check of the purchasing officer has been conducted and reveals no criminal convictions for misdemeanor crimes of domestic violence. Signature of POA Badge # Title or Rank Printed Name of POA Date Department Address City, State and Zip Code Supervisor Phone #

6 Individual First Responder Verification Form Beretta USA Corp. offers special discount pricing as a way of assisting federal agents, individual law enforcement and/or security officers, military personnel and qualified first responders to purchase their individual firearms. If you qualify, please proceed to complete the lower portion of the form. All pistols purchased on this program are not eligible for any other discounts or rebates. Qualified purchasers for this program include: All sworn Law Enforcement Officers, including city, county, and state All Federal Law Enforcement Officers All Corrections Officers, including Parole and Probation Officers All retired Law Enforcement Officers with retired credentials State licensed Security Company Officers State Licensed Para-Medics and EMTs Fire Fighters (including volunteers) Court Judges District Attorneys and Deputy District Attorneys Active U.S. Military personnel all branches Retired U.S. Military personnel all branches To receive the discounted law enforcement pricing you must provide proper credentials, including employment identification and/or authorization. I, certify that (Print Name of Authorized Purchaser) I am a(n) employed by. (Rank/Position) (Employer) The Beretta Law Enforcement Firearm is for on or off duty use and is not being purchased for resale. The model(s) information is contained below. Provide one form per firearm. Beretta Model & Caliber: Product SKU: Serial Number: Dealer/Distributor Sales Person Verification of Identification Dealer Signature/Date Purchaser s Signature/Date ATTACH A LEGIBLE COPY OF CURRENT/RETIRED EMPLOYEMENT ID OR LETTERHEAD AND INCLUDE WITH FORM FAX COPY OF THIS FORM, ID, AND COPY OF INVOICE WITH SALE DATE & PRICE TO Beretta reserves the right to cancel or modify this program at any time and without notice. Factory direct and Law Enforcement Agency purchases do not qualify. Revision 12/17/2013

7 Military/Federal Officer Verification Form Beretta USA Corp. offers special discount pricing as a way of assisting federal agents, individual law enforcement and/or security officers, military personnel and qualified first responders to purchase their individual firearms. If you qualify, please proceed to complete the lower portion of the form. All pistols purchased on this program are not eligible for any other discounts or rebates. Qualified purchasers for this program include: All Federal Law Enforcement Officers Active U.S. Military personnel all branches Retired U.S. Military personnel all branches Without proper employment identification, authorization or credentials you will not receive the instant Law Enforcement pricing. I, certify that (Print Name of Authorized Purchaser) I am a(n) employed by. (Rank/Position) (Branch of Service/ Federal Agency) Duty Station: Military Unit/ Agency Address: The Beretta Law Enforcement Firearm is for on or off duty use and is not being purchased for resale. The model(s) information is contained below. Provide one form per firearm. Beretta Model & Caliber: Product SKU: Serial Number: Dealer/Distributor Sales Person Verification of Identification I,, certify that I have examined the listed customers Military/ Federal L.E. Identification credentials. I have verified this individual is compliant with Beretta s individual officer purchase program. Dealer Signature/Date Purchaser s Signature/Date ATTACH A LEGIBLE COPY OF VALID STATE ID AND ATTACH/INCLUDE WITH FORM Beretta reserves the right to cancel or modify this program at any time and without notice. Factory direct and Law Enforcement Agency purchases do not qualify. Revision 12/17/2013

8 ORDER R FORM PLEASE PRINT NAME * COMPANY TITLE SHIP TO ADDRESS * CITY, STATE, ZIP * TELEPHONE * FAX * * INDICATES REQUIRED INFORMATION ORDER R INFORMATION I O N QTY DESCRIPTION UNIT PRICE AMOUNT Accessory - Ground Shipping: All Firearms - Standard Shipping: $16.00 each for the first item and $9.00 for each additional item. $35.00 each. Add an additional $10.00 each for California shipments. NOTE: Shipping time is in business days from the time of shipment. Most orders ship within 1 or 2 business days however, some items may require up to 7 business days to ship. Saturday delivery is not included in the rates above. SHIPPING & HANDLING SUBTOTAL TEXAS SHIPMENTS ADD 8.25% SALES TAX TOTAL AMOUNT PAYMENT INFORMATION I O N PAYMENT TYPE CHECK (PAYMENT ENCLOSED) OR CREDIT CARD (FILL OUT BELOW IF CREDIT CARD ORDER) TYPE OF CARD VISA MASTERCARD ACCOUNT NUMBER CARD SECURITY CODE EXP DATE The CSC is a 3 - or 4 - digit number, is typically printed on the back of a credit card (usually in the signature field) NAME AS SHOWN ON CARD BILLING ADDRESS (CREDIT CARD BILLING ADDRESS) CITY, STATE, ZIP TELEPHONE CARDHOLDER SIGNATURE I agree to and accept the standard CMC Government Services, Inc. terms and conditions posted online at All sales are final. Items purchased cannot be returned for credit, exchange or refund. Defective data & software media will be replaced by the manufacturer under the terms of their warranty. All other products will be repaired or replaced by the manufacturer under the terms and conditions of their warranty. Mail your order form and payment to: CMC Government Supply 5200 Keller Springs Road Suite 522 Dallas, Texas USA OR DATE Fax your order form and with credit card information to: