JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FFL America Base Shop Weekly Submit
Please submit your sales from the past 7 days.
-An FFL week runs Thursday - Wednesday.
-Doing this allows FFL to track your sales and help you qualify for bonuses
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Who Do You Work With?
*
Your answer
Applications Submitted
*
Your answer
Total Submitted Annual Premium
*
Your answer
Total Number of Appointments Ran
*
Your answer
First Time Submitting Business?
*
YES
NO
Anything Else We Should Know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of polcynfinancial.com.
Does this form look suspicious?
Report
Forms