Order Form

California Gun Excise Tax Exception:: *

First Name: *

Payroll deduction enrollment below.

Or mail a check to:

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

Only $71.00 a month, for ten months.

THIS PURCHASE NOT RESTRICTED TO PEACE OFFICERS

Phone *

Last Name: *

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.

Full SSN: *

This promotion ends October 31st, 2024

Middle Name:

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.

FFL Selected *

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

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

City State Zip *

Ruger American, 308 with Flag Stock

Order yours today.

Email: *

Address *

Ruger American

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

Supporting Those Who Keep Us Safe. Est. 2002

866-357-9388

California Crime Victims Coalition