California Customer Identity Verification

This form is required to verify your identity and eligibility before NineX19 can ship your California order.

Please enter the information exactly as it appears on your order and government-issued photo ID. Your order will remain on hold until verification is complete.

Government-Issued Name for

NineX19 Order Number *

Enter the order number shown in your confirmation email.

Email Address Used for the Order. *

Enter the email address used during checkout.

Full Legal Name *

First

Last

Enter your name exactly as it appears on your government-issued photo ID.

California Legal Notice Required by AB 1263

It is generally a crime in California to engage in any of the following conduct without a valid license to manufacture firearms:

• Manufacturing more than three firearms per calendar year in California.

• Manufacturing a firearm using a three-dimensional printer or CNC milling machine.

• Manufacturing a firearm for the purpose of selling or transferring ownership of that firearm to another individual who is not licensed to manufacture firearms.

• Manufacturing a firearm for the purpose of selling, loaning, or transferring that firearm with the intent to complete the sale, loan, or transfer without a required background check initiated by a licensed firearms dealer.

• Allowing, facilitating, aiding, or abetting the manufacture of a firearm by a person who is legally prohibited from possessing firearms.

• Manufacturing, or causing the manufacture of, assault weapons, machineguns, undetectable firearms, unserialized firearms, unsafe handguns that are not on the California Department of Justice roster of handguns certified for sale, or other generally prohibited weapons.

You may review the complete legislation on the California Legislature’s website: California Assembly Bill 1263 – Official Bill Text

Required AB 1263 Acknowledgment *

I acknowledge that I received, read, and understand the California Legal Notice required by AB 1263 above.

Government-Issued Photo ID *

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Upload a clear image of a valid government-issued photo ID showing your full name, date of birth, photograph, and current residential address. The address must match the shipping address on your NineX19 order. Upload additional images only if the required information appears on more than one side of the ID.

NineX19 will use the submitted identification only for order verification, legal compliance, fraud prevention, and necessary recordkeeping. Do not submit payment-card information through this form.

Review how NineX19 handles verification information: California Identity Verification & Privacy.

Purchaser Certification *

I certify that I am the purchaser named on this order, I am at least 18 years old, the identification submitted is current and belongs to me, and the name and residential address on my identification match my NineX19 order. I certify that the information submitted is accurate and agree that my typed legal name and submission of this form constitute my electronic signature.