Order Form

866-357-9388

Supporting Those Who Keep Us Safe. Est. 2002

California Crime Victims Coalition

Email: *

City State Zip *

Ruger Max 9 Model 3518 (Monthly deduction will be total of all guns purchased divided into ten monthly payments)

Last Name: *

Order yours today.

FFL Selected *

Ruger LCP Max Model 13754 (Monthly deduction will be total of all guns purchased divided into ten monthly payments)

Agreement *

I hereby agree to payroll deduction in to Crime Victims Coalition (CVC), and authorize the State Controller to deduct from my salaries and wages the amount specified above. I understand that cancellations will be subject to a $75.00 fee per firearm, orders cannot be canceled after final payment made. Customer will be responsible for any applicable dealer transfer fees and DROS fees. I also understand that payroll deductions are for CDCR employees only.

THIS PURCHASE NOT RESTRICTED TO PEACE OFFICERS

Before you start your application, ensure you have photo of your California Employee State Identification, it is now required for purchases.

Regardless of status, you must upload copy of a picture of the front of your Active Duty or Retired State of California Employee ID Card. Drivers License will not be accepted. *

Address *

First Name: *

Phone *

Production is underway, estimated release dates are currently not available.

Ruger Max 9 and Ruger LCP Max

Middle Name:

Payroll deduction enrollment below.

Or mail a check to:

Crime Victims Coalition, PO Box 894, El Centro, CA 92244

Due to this being a secured form, may not work on public networks.

If you need to modify your order or add additional firearms, please email us with the updated information. Do not submit a new application.

California Gun Excise Tax Exception:: *

This promotion ends October 31st, 2025

Full SSN: *

California Gun Excise Tax Acknowledgment: *

In California, only active duty and retired peace officers are exempt from the excise tax on firearms, all others will be subject to one additional monthly payment to cover the cost associated with this tax. Everyone must provide proof of their status, this will be completed by submitting a copy of the front of their State Employee Identification Card.