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IWI Public Service Program Registration with CC TEST
Select Firearm
Please only complete this form if you are able to pay, in full, for the firearm. Your card will be charged when the item or items are ready to ship. If they are in stock, they will ship within two weeks of receiving your application. If they are on back order, it may take 4 to 8 weeks before your payment is processed and the items are shipped. Please have the funds available for this purchase.
Note: A flat $15 charge will be added for shipping and handling per item, plus sales tax where applicable. Additional shipping charges may apply to Alaska, Hawaii and the U.S. Territories. You will be contacted with the additional shipping cost before the order is processed.
*You can purchase up to two weapons per year (based on the time of purchase) and they must be different weapons
**IWI retains the right to refuse service for any reason.
***Upon completing the form, you will receive an email notifying you that your submission was completed successfully. If there is a question about the application, you will be contacted. Otherwise, the application will be vetted. If you are eligible for this special offer, your credit card will be charged when the item or items are ready to ship.
Once the card has been charged, all sales are final.
****Only the guns listed here are currently eligible for this program.
Select a Weapon
*
Tavor 7 7.62 NATO - $1,760.00
Tavor X95 5.56 NATO 16.5" - $1,600.00
Tavor X95 5.56 NATO 18" - $1,600.00
Tavor X95 SBR 5.56 - $1,600.00 (NFA Item)
Tavor X95 Restricted State (18 inch bbl pinned comp) - $1,640.00
[CSR16] Carmel 5.56 NATO 16" Barrel - $1,440.00
[GAR37] Galil ACE GEN II Rifle 7.62x39 - $1,584.00
[GAR36SBR] Galil ACE GEN II 7.62x39 Short Barreled Rifle - $1,584 (NFA Item)
[GAR27] Galil ACE GEN II Rifle 5.56 NATO - $1,584.00
[GAR28SBR] Galil ACE GEN II 5.56 NATO Short Barreled Rifle - $1,584.00 (NFA Item)
[GAR71] Galil ACE GEN II Rifle 5.45x39 - $1,584.00
[GAR72SBR] Galil ACE GEN II 5.45x39 Short Barreled Rifle - $1,584.00 (NFA Item)
[GAR55] Galil ACE GEN II Rifle 7.62 NATO - $1,744.00
[J941PL9-II] Jericho II Poly 941 Pistol 9mm - Full Size - $480.00
[J941PSL9-II] Jericho II Poly 941 Pistol 9mm - Mid Size - $480.00
[M9ORP17] Masada 9mm - $428.00
[M9ORP17T] Masada Tatical 9mm with Threaded Barrel - $428.00
Tavor TS12 Shotgun (Color and RH/LH below) - $1120.00
[Z15TAC16] Zion-15 - $760.00
[Z15TAC12-SBR] Zion-15 12.5" SBR - $760.00 (NFA Item)
All weapons are 20% off MSRP.
Select Weapon Color
*
Black
Flat Dark Earth
Green
Select Weapon Color
*
Black
Flat Dark Earth
Hand Preference
*
Right Hand
Left Hand
Please note: The Tavor X95 in left hand is only available in black.
Would you like to purchase a second weapon now?
*
Yes
No
Select a Second Weapon
*
Tavor 7 7.62 NATO - $1,760.00
Tavor X95 5.56 NATO 16.5" - $1,600.00
Tavor X95 5.56 NATO 18" - $1,600.00
Tavor X95 SBR 5.56 - $1,600.00
Tavor X95 Restricted State (18 inch bbl pinned comp) - $1,640.00
[CSR16] Carmel 5.56 NATO 16" Barrel - $1,440.00
[GAR37] Galil ACE GEN II Rifle 7.62x39 - $1,584.00
[GAR36SBR] Galil ACE GEN II 7.62x39 Short Barreled Rifle - $1,584.00 (NFA Item)
[GAR27] Galil ACE GEN II Rifle 5.56 - $1,584.00
[GAR28SBR] Galil ACE GEN II 5.56 NATO Short Barreled Rifle - $1,584.00 (NFA Item)
[GAR71] Galil ACE GEN II Rifle 5.45x39 - $1,584.00
[GAR72SBR] Galil ACE GEN II 5.45x39 Short Barreled Rifle - $1,584.00 (NFA Item)
[GAR55] Galil ACE GEN II Rifle 7.62 NATO - $1,744.00
[J941PL9-II] Jericho II Poly 941 Pistol 9mm - Full Size - $480.00
[J941PSL9-II] Jericho II Poly 941 Pistol 9mm - Mid Size - $480.00
[M9ORP17] Masada 9mm - $428.00
[M9ORP17T] Masada Tatical 9mm with Threaded Barrel - $428.00
Tavor TS12 Shotgun (Color and RH/LH below) - $1120.00
[Z15TAC16] Zion-15 - $720.00
[Z15TAC12-SBR] Zion-15 12.5" SBR - $720.00 (NFA Item)
All weapons are 20% off MSRP.
*Selected weapon must be different from the first weapon.
**Only the guns listed here are currently eligible for this program**
Select Weapon Color
*
Black
Flat Dark Earth
Green
Select Weapon Color
*
Black
Flat Dark Earth
Hand Preference
*
Right Hand
Left Hand
Please note: The Tavor X95 in left hand is only available in black.
Will your purchase be use on duty?
Yes
No
Name
*
First
Middle
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Billing address cannot be a PO Box.
Phone
*
Email
*
Enter Email
Confirm Email
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Expiration Date
Security Code
Cardholder Name
Eligibility Verification
US Citizen
*
Yes
No
Which Branch of Public Service?
*
Law enforcement; retired, current or reserve
Corrections, parole, or probation officer
US Federal agent; current or retired who have the authority to arrest
Military Personnel; retired, current or reserve
Firefighter; current, volunteer, or reserve
EMT/Paramedic
Certified armed security
Upload Credentials
A copy of your valid service credentials are required.
File
*
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 12 MB, Max. files: 4.
(Max File Size: 12MB) Please upload a picture or PDF of your appropriate credentials/forms. Max files: 4.
FFL Information
*REQUIRED* A Federal Firearms License (FFL) is required for your desired shipping location. If we do not receive a valid FFL in this form, we cannot process this order.
FFL Name
*
FFL Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
FFL Phone #
*
FFL Upload
*
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 12 MB.
(Max File Size: 12MB) Please attach a picture or PDF of the FFL document for the entity where your weapon is being shipped.
Terms & Conditions
1. By agreeing to the document above, I verify the information contained herein is accurate and truthful. 2. All purchases are restricted by state law regarding age of the buyer and the type of weapon being purchased. Before buying, learn the restrictions that may be in place in your state. 3. All sales are final. IWI US, Inc reserves the right to cancel any order. Your credit card will not be charged until the item or items are shipped. 4. The purchase will be reviewed before being approved to verify the purchaser is qualified for the special price. All individuals who do not meet the criteria will not receive the special pricing. 5. All purchases will proceed through a FFL of the buyer's choosing. 6. The qualified individual can purchase up to 2 weapons per year through this program. 7. IWI US, Inc. reserves the right to modify, change, or discontinue this program at any time for any reason.
Check Below if Agreed:
*
I Understand and Agree with the Above Term's and Conditions
Shipping Notice
*
I understand all items are heavily backordered and lead times may vary
Do you have an event code? If so, enter it below.
How did you hear about our program and/or product?
*
Through a coworker/work
Through a friend
From the Academy
From print media/article
From social media (Instagram, You Tube, etc.)
Through a search (Google, etc.)
Through the monthly newsletter
Through the print catalogue
Seeing the product on the range or other professional setting
Seeing or hearing about the product at a show or convention
Seeing the product at a demonstration
Other (fill in the below)
Please share how you heard about us.
Additional Comments
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