GLOCK, INC.
LAW ENFORCEMENT DISCOUNT PRICE SHEET
ALL SALES ARE SUBJECT TO STATE AND LOCAL MAGAZINE RESTRICTIONS
(Prices are subject to change without notice)
Limit order to two pistols
PROGRAM CUSTOMER LIST AND QUALIFICATIONS HAVE CHANGED AS OF MAY 1ST, 2011
Sworn Law Enforcement Officers or Federal Agents, Retired Law Enforcement Officers or Retired Federal Agents with "retired" credentials,
Corrections Officers, including Parole & Probation Officers, State licensed Security Companies, State licensed Security Officers, Active Military,
National Guard, or Military Reserve personnel (all branches), including Retired Military with "retired" credentials only, Licensed Para-Medics or
EMTs, Fire Fighters (including volunteers) with appropriate I.D., Court Judges, District Attorneys and Deputy District Attorneys, LE Academy
Cadets with enrollment documentation from the academy.
Standard Law Enforcement Equipment Includes: Pistol Lock, Cleaning Rod And Brush, Owner's Manual And Warranty Registration Card,
Storage Container, Magazine Loader, And Specified Number Of Magazines.
Without proper employment identification, authorization or credentials you will receive 2 commercial mags
MODELS:
Specify Trigger:
G17 (9x19)
G19 (9x19)
G22 (.40)
G23 (.40)
G26* (9x19)
G27* (.40)
G31 (.357)
G32 (.357)
G33* (.357)
3 High - Capacity Magazines
5.5lb
8lb
NY1
(* G26, G27 and G33, provided with 2 Standard Capacity Magazines)
Sight
Price w/ FET
Fixed
398.20
Adjustable
420.20
GLOCK NS
455.40
Trijicon NS
477.40
Qty
Check here
for "C" model
and add
$24.20
Grand Total
x
=
x
=
x
=
x
=
"C" Models not available: G26, G27 and G33
MODELS:
G17 Gen4 (9x19)
G19 Gen4 (9x19)
G22 Gen4 (.40)
G23 Gen4 (.40)
G26 Gen4 (9x19)*
G27 Gen4 (.40)*
Specify Trigger:
5.5lb
8lb
NY1
G31 Gen4 (.357)
Standard equipment (3 High - Capacity Magazines, 2 modular back straps, 1 pin, and a back strap replacement tool)
* G26 Gen4 and G27 Gen4 provided with 3 Standard Capacity Magazines
Sight
Price w/ FET
Fixed
398.20
x
=
Adjustable
420.20
x
=
GLOCK NS
455.40
x
=
Trijicon NS
477.40
x
=
"C" Models not available
FRM-72-10 / Rev 25 / 11.14.11
Qty
Grand Total
"Gen4" Models are not California compliant and are not approved for sale in California
Page 1 of 7
MODELS:
G20 (10mm)
G29* (10mm)
G21(.45)
G30* (.45)
3 High - Capacity Magazines
Specify Trigger:
5.5lb
8lb
NY1
G36* (.45)
(* G29, G30 and G36, provided with 2 Standard Capacity Magazines)
Sight
Price w/ FET
Fixed
464.20
Adjustable
486.20
GLOCK NS
521.40
Trijicon NS
543.40
Qty
Check here
for "C" model
and add
$44.00
Grand Total
x
=
x
=
x
=
x
=
"C" Models not available: G29, G30 and G36
MODELS:
G20 (10mm) SF Standard GLOCK Rail (Standard Magazine Catch)
Specify Trigger:
5.5lb
8lb
NY1
G21 (.45) SF Standard GLOCK Rail (Standard Magazine Catch)
G29* (10mm) SF Standard GLOCK Rail (Standard Magazine Catch)
G-30* (.45) SF Standard GLOCK Rail (Standard Magazine Catch)
3 High - Capacity Magazines
(* G29 and G30 provided with 2 Standard Capacity Magazines)
Sight
Price w/ FET
Qty
Grand Total
Fixed
464.20
x
=
Adjustable
486.70
x
=
GLOCK NS
521.40
x
=
Trijicon NS
543.40
x
=
"C" Models not available
MODELS:
Specify Trigger:
G21 Gen4 (.45)
5.5lb
8lb
NY1
Standard equipment (3 High - Capacity Magazines, 2 modular back straps, 1 pin, and a back strap replacement tool)
Sight
Price w/ FET
Qty
Grand Total
Fixed
464.20
x
=
Adjustable
486.70
x
=
GLOCK NS
521.40
x
=
Trijicon NS
543.40
x
=
"C" Models not available
FRM-72-10 / Rev 25 / 11.14.11
Page 2 of 7
MODELS:
G34 (9mm)
G34 Gen4 (9mm)
G35 (.40)
G35 Gen4 (.40)
Specify Trigger:
4.5lb
5.5lb
8lb
NY1
3 High - Capacity Magazines
Sight
Price w/ FET
Qty
Grand Total
Fixed
480.70
x
=
Adjustable
502.70
x
=
GLOCK NS
537.90
x
=
Trijicon NS
559.90
x
=
"C" Models not available
MODELS:
G37 (.45 G.A.P.)
G38 (.45 G.A.P.)
G39 (.45 G.A.P.)
Specify Trigger:
5.5lb
8lb
NY1
G37, G38 provided with 3 Standard Capacity Magazines; G39 provided with 2 Standard Capacity Magazines
Sight
Price w/ FET
Qty
Grand Total
Fixed
414.70
x
=
Adjustable
436.70
x
=
GLOCK NS
471.90
x
=
Trijicon NS
493.90
x
=
"C" Models not available
MODELS:
Specify Trigger:
G37 Gen4 (.45 G.A.P.)
5.5lb
8lb
NY1
Standard equipment (3 High - Capacity Magazines, 2 modular back straps, 1 pin, and a back strap replacement tool)
Sight
Price w/ FET
Fixed
414.70
x
=
Adjustable
436.70
x
=
GLOCK NS
471.90
x
=
Trijicon NS
493.90
x
=
"C" Models not available
Qty
Grand Total
"Gen4" Models are not California compliant and are not approved for sale in California
DUE TO STATE LAW, GLOCK, INC. IS PROHIBITED FROM SHIPPING DIRECT TO INDIVIDUALS IN CA, NJ, MO, PA, MA, WASH. DC
ALL FIREARMS MUST SHIP TO A VALID (FFL) FEDERAL FIREARMS LICENSED DEALER
FRM-72-10 / Rev 25 / 11.14.11
Page 3 of 7
ACCESSORIES
ALL MAGAZINE SALES ARE SUBJECT TO STATE AND LOCAL MAGAZINE RESTRICTIONS
Accessories
Qty
Price
Total Pistol Price
Entrenching tool w/ pouch
34.00
Accessory Subtotal
Field knife (black/sand/olive)
20.00
Shipping and Handling
Field knife with root saw (black/sand/olive)
22.00
Order Subtotal
Magazine pouch (9mm/ .40 cal./ .357)
7.00
** Sales Tax
Magazine pouch (10mm/ .45 Auto)
7.00
Sport/ Combat holster (specify model)
9.00
Sport/ Duty holster (not available for 10mm/ .45 Auto)
15.00
GLOCK Tactical light
75.00
GLOCK Tactical light w/ laser
227.00
G26/G27/G33 LE ONLY magazine w/ "+" floorplate
30.00
Extra magazine (specify model)
21.00
10.00
(See ** taxable states below)
Grand Total
NOTE: As stated above, sales tax and shipping
charges, if applicable, will be charged
without further notice.
(Max. 6 per model)
TAXABLE STATES:
AL, AZ, CA, CO, CT, FL, GA, HI, IA, ID, KS, KY, MA, MD, MI, MN, MO, MS, NJ, NV, NM, NY, NC, OH, OK, PA, SC, TN, TX, UT, VA, WA, WI, WV
FRM-72-10 / Rev 25 / 11.14.11
Page 4 of 7
SALES CONDITIONS
DUE TO STATE LAW, GLOCK, INC. IS PROHIBITED FROM SHIPPING DIRECT TO AGENCIES FOR INDIVIDUALS IN CA, NJ, MO, PA, MA,
WASH. DC
ALL FIREARMS MUST SHIP TO A VALID (FFL) FEDERAL FIREARMS LICENSED DEALER
ALL SALES ARE SUBJECT TO STATE AND LOCAL MAGAZINE RESTRICTIONS
ALL CA FFL'S MUST SUBMIT CADOJ REGISTRATION LETTER
LAW ENFORCEMENT OFFICERS WHO CHOOSE TO ACQUIRE THEIR PRIVATE DUTY WEAPONS WITH THEIR AGENCY'S PERMISSION, MAY PURCHASE GLOCK PISTOLS
ON A PREPAYMENT BASIS FROM GLOCK, INC.; PROVIDED THAT THE GLOCK PISTOL(S) SHIPPED TO LAW ENFORCEMENT OFFICERS WILL NOT BE RESOLD TO THE
GENERAL PUBLIC AND COMPLY WITH A.T.F. AND STATE PURCHASE AND SHIPMENT REGULATIONS. INDIVIDUAL OFFICER SALES ARE CONSIDERED AS RETAIL
SALES AND ARE SUBJECT TO FEDERAL EXCISE TAX, AND STATE AND/OR LOCAL SALES TAXES.
A.T.F. REGULATIONS, SALES OF FIREARMS TO LAW ENFORCEMENT OFFICERS:
SECTION 925(A) (1) OF THE GUN CONTROL ACT EXEMPTS LAW ENFORCEMENT AGENCIES FROM THE TRANSPORTATION, SHIPMENT, RECEIPT, OR IMPORTATION
CONTROLS OF THE ACT WHEN FIREARMS ARE TO BE USED FOR THE OFFICIAL BUSINESS OF THE AGENCY.
THE REGULATIONS AT 27 CFR 478.134 PROVIDE:
IF A LAW ENFORCEMENT OFFICER IS ISSUED A CERTIFICATION LETTER ON THE AGENCY'S LETTERHEAD, SIGNED BY A PERSON IN AUTHORITY WITHIN THAT
AGENCY, STATING THAT THE OFFICER WILL USE THE FIREARMS IN PERFORMANCE OF OFFICIAL DUTIES, THEN THAT OFFICER SPECIFIED IN THE CERTIFICATION
MAY PURCHASE A FIREARM REGARDLESS OF THE STATE IN WHICH HE/SHE RESIDES OR IN WHICH THE AGENCY IS LOCATED. GLOCK IS NOT REQUIRED TO PREPARE
A FORM 4473 COVERING THIS PARTICULAR SALE, AS THE CERTIFICATION LETTER IS EVIDENCE OF THE TRANSACTION. DISPOSITION TO THE OFFICER'S AGENCY IS
ENTERED IN SELLER'S PERMANENT RECORD, AND THE CERTIFICATION LETTER WITH AN “ORIGINAL SIGNATURE” IS KEPT IN THE SELLER'S FILES.
THE A.T.F. CONSIDERS THE FOLLOWING AS PERSONS HAVING AUTHORITY TO MAKE CERTIFICATIONS THAT THE LAW ENFORCEMENT OFFICER PURCHASING THE
FIREARM WILL USE THE FIREARM IN THE PERFORMANCE OF OFFICIAL DUTIES:
1. IN A CITY OR COUNTY POLICE DEPARTMENT, THE DIRECTOR OF PUBLIC SAFETY OR THE CHIEF OR COMMISSIONER OF POLICE.
2. IN A SHERIFF'S OFFICE, THE SHERIFF.
3. IN A STATE POLICE OR HIGHWAY PATROL DEPARTMENT, THE SUPERINTENDENT OR THE SUPERVISOR IN CHARGE OF THE OFFICE TO WHICH THE
OFFICER IS ASSIGNED.
4. IN FEDERAL LAW ENFORCEMENT OFFICES, THE SUPERVISOR IN CHARGE OF THE OFFICE TO WHICH THE FEDERAL OFFICER IS ASSIGNED.
THE A.T.F. WOULD ALSO RECOGNIZE SOMEONE SIGNING ON BEHALF OF A PERSON OF AUTHORITY PROVIDED THERE IS A PROPER DELEGATION OF AUTHORITY
AND OVERALL RESPONSIBILITY HAS NOT CHANGED IN ANY WAY. COPIES/FAXES OF LETTERS AND “RUBBER STAMP” SIGNATURES ARE NOT ACCEPTABLE.
SAMPLE AUTHORIZATION / CERTIFICATION LETTER
DUE TO STATE LAW, GLOCK, INC. IS PROHIBITED FROM SHIPPING DIRECT TO AGENCIES FOR INDIVIDUALS IN CA, NJ, MO, PA, MA,
WASH. DC
ALL FIREARMS MUST SHIP TO A VALID (FFL) FEDERAL FIREARMS LICENSED DEALER
ALL SALES ARE SUBJECT TO STATE AND LOCAL MAGAZINE RESTRICTIONS
I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE OFFICER WILL USE THE REQUESTED FIREARM AND/OR LARGE CAPACITY AMMUNITION FEEDING
DEVICES FOR USE IN PERFORMING OFFICIAL DUTIES AND THAT THE FIREARM AND/OR LARGE CAPACITY AMMUNITION FEEDING DEVICES ARE NOT BEING
ACQUIRED FOR PERSONAL USE OR FOR PURPOSES OF TRANSFER OR RESALE.
I FURTHER CERTIFY, UNDER PENALTY OF PERJURY, THAT A RECORDS CHECK HAS BEEN CONDUCTED ON THE LAW ENFORCEMENT OFFICER WHO IS PURCHASING
THE FIREARM AND REVEALS NO CONVICTIONS FOR MISDEMEANOR CRIMES OF DOMESTIC VIOLENCE.
NOTE: BOTH THE PURCHASER AND PERSON OF AUTHORITY WITHIN THE AGENCY MUST SIGN THE AUTHORIZATION / CERTIFICATION LETTER (S).
IF TWO PISTOLS ARE ORDERED, THE LETTERHEAD REQUEST MUST INDICATE PERMISSION TO PURCHASE BOTH. NOTE: AUTHORIZATION LETTER MUST STATE THE
QUANTITY OF PISTOLS THAT ARE BEING ORDERED. LAW ENFORCEMENT PERSONNEL PURCHASING PISTOLS UNDER GLOCKS INDIVIDUAL OFFICER PRICE
PROGRAM ARE RESPONSIBLE FOR COMPLYING WITH ALL FEDERAL-STATE-LOCAL FIREARMS REGISTRATION REQUIREMENTS AND FOR PAYMENT OF ANY
REQUIRED REGISTRATION OR TRANSFER FEES.
FRM-72-10 / Rev 25 / 11.14.11
Page 5 of 7
FEDERAL FIREARMS LICENSE (FFL)
ALL SALES ARE SUBJECT TO STATE AND LOCAL LAWS AND MAGAZINE RESTRICTIONS
ALL CALIFORNIA FFL'S MUST SUBMIT CALIFORNIA DEPARTMENT OF JUSTICE REGISTRATION LETTER
NOTE: THE FOLLOWING PURCHASERS MUST INCLUDE A LEGIBLE COPY OF CURRENT OR RETIRED EMPLOYMENT IDENTIFICATION AND ALL PISTOL
PURCHASES MUST ALSO INCLUDE A CURRENT VALID (FFL) FEDERAL FIREARMS LICENSE (FROM A DEALER).
SWORN LAW ENFORCEMENT OFFICERS OR FEDERAL AGENTS, RETIRED LAW ENFORCEMENT OFFICERS OR RETIRED FEDERAL AGENTS WITH "RETIRED"
CREDENTIALS, CORRECTIONS OFFICERS, INCLUDING PAROLE & PROBATION OFFICERS, STATE LICENSED SECURITY COMPANIES, STATE LICENSED SECURITY
OFFICERS, ACTIVE MILITARY, NATIONAL GUARD, OR MILITARY RESERVE PERSONNEL (ALL BRANCHES), INCLUDING RETIRED MILITARY WITH "RETIRED"
CREDENTIALS ONLY, LICENSED PARA-MEDICS OR EMTS, FIRE FIGHTERS (INCLUDING VOLUNTEERS) WITH APPROPRIATE I.D., COURT JUDGES, DISTRICT ATTORNEYS
AND DEPUTY DISTRICT ATTORNEYS, LE ACADEMY CADETS WITH ENROLLMENT DOCUMENTATION FROM THE ACADEMY.
TERMS: PREPAID ONLY BY CHECK, POSTAL MONEY ORDER OR CREDIT CARD (MC, DC, VISA). $50.00 CHARGE FOR RETURNED CHECKS OR CREDIT CARD CHARGE
BACKS.
FOR SALES TAX AND FREIGHT CHARGES NOTE FOLLOWING: COMPUTE STATE AND LOCAL SALES OR USE TAX PERCENTAGE AFTER ADDING SHIPPING AND
HANDLING. PISTOLS ARE SHIPPED BY FED EX 2ND DAY. ACCESSORIES ARE SHIPPED BY FED EX GROUND SERVICE. ALL EXPRESS CHARGES ARE THE CUSTOMER'S
PREPAID RESPONSIBILITY.
PHONE OR FAX ORDERS FOR PISTOLS CANNOT BE ACCEPTED. PROPER AND ORIGINAL LETTERHEAD CERTIFICATIONS MUST ACCOMPANY ALL ORDERS AS PER
SALES CONDITIONS SET OUT ABOVE.
ORDERS FOR ACCESSORIES AND SPARE PARTS ONLY MAY BE ORDERED BY FAX WITH CREDIT CARD AUTHORIZATION. FAX #: (770) 433-8719
FEDERAL / MILITARY/ LE DIRECT PURCHASE PROGRAM
AUTHENTIFICATION FORM
(To be completed by purchaser only)
I, ___________________________________________ certify under penalty of perjury, the below information
is true and correct.
(Purchaser only - Print clearly)
Purchaser:
Agency / Branch:
Position / Rank:
ID #
Address:
Phone No.:
Date:
Purchaser Signature: _____________________________________________________
(Attach to completed order form)
FRM-72-10 / Rev 25 / 11.14.11
Page 6 of 7
CREDIT CARD PURCHASES - MUST PROVIDE:
Name on Credit Card:
Visa/ Master Card/ Discover:
Credit Card Number
Expiration Date:
Security Code:
Three (3) or four (4) digit “Security Code” from the back of the charge card (usually in the signature block).
Authorized Signature
Phone Number:
Note: GLOCK's Bank/ Credit card processor requires that the customer's complete credit card address be imputed before
approval. Orders will not be processed without this personal information.
Purchaser Name:
Name on Credit Card (Billing address)
Please submit the following:
1. One credit card per form
2. Completed original copy of this form
3. Appropriate Letterhead/or FFL
(See sample letter above)
4. Legible copy of current or retired
employment identification and FFL
Home or Cell Phone No.:
Purchaser Name:
Ship to Street address (No P.O. Boxes, please)
(LE Agency address or FFL address)
Please submit the following:
1. One check per form
2. Completed original copy of this form
3. Appropriate Letterhead
(See sample letter above)
4. Legible copy of current or retired
employment identification and FFL
Phone No.:
P. O. Box 369
Smyrna, GA 30081 - 0369
Prices and sales conditions subject to change without notice
For any assistance, kindly contact GLOCK, Inc. Customer Service at (770) 432-1202 or your local GLOCK, Inc. Sales Manager
FRM-72-10 / Rev 25 / 11.14.11
Page 7 of 7