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Automatic Knife Release form

ACKNOWLEDGMENTS AND REPRESENTATIONS
 
 We/I,__________________________________ (Print Name) have read Sections 18 USC 1716 (G) (2) (1-4) and 15 USC 1244 (above) and fully will/do comply and agree to use knives in connection with duties as described in those sections and/or take full responsability for knowing and abiding by any and all federal, state and local laws.
 
I ______________________________ am a collector and
 intend only to display these items in a secured collection in compliance with applicable laws if any.
 
Birth Date:___/___/______
 
Sign here:____________________________ I attest that all information is true and accurate and agree to all terms and conditions. Dated:______________, 20____ .
Name:__________________________
Address:_________________________
State:__________
Zip Code:_____________
Printed Name:_____________________________________
 
 Signature:_______________________________
 
By agreeing to the terms and conditions of Horizon Outdoors I agree also to the above.
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