AUTOMATIC KNIFE COMPLIANCE FORM

THIS FORM MUST BE COMPLETELY FILLED OUT BEFORE WE CAN SHIP ANY AUTOMATIC KNIVES!

THE COMPLIANCE FORM IS NOT REQUIRED FOR TEXAS RESIDENTS OVER 21 YEARS OLD. IT IS THE
RESPONSIBILITY OF THE BUYER TO OBEY ALL APPLICABLE LOCAL, STATE, FEDERAL AND INTERNATIONAL
LAWS IN REGARD TO THE POSSESSION, AND USE, OF ANY ITEM PURCHASED FROM CUTLERY TO GO.

IN COMPLIANCE WITH FEDERAL STATUTES: Read carefully all conditions set forth below. Federal law
prohibits shipment of automatic knives across state lines, with the following exceptions: (1) to civilian or
Armed Forces supply or procurement officers and employees of the Federal Government ordering,
procuring, or purchasing such knives in connection with the activities of the Federal Government; (2) to
supply or procurement officers of the National Guard, the Air National guard, or militia of a state, territory
or the District of Columbia ordering, procuring, or purchasing such knives in the connection with the
activities of such organization; (3) to supply or procurement officers or employees of the municipal
government of the District of Columbia or the government of any State or Territory, or any county, city or
other political subdivision of a State or Territory; (4) to manufacturers of such knives or bona fide dealers
therein in connection with any shipment made pursuant of an order from any person designated in
paragraphs (1), (2), and (3).

Cutlery To Go will sell no such knives to any individual without the above conditions being met. We must
have proof of your status that conforms to the above conditions BEFORE we can send such knives
across State lines. Proof would include a request for such knives on letterhead from your organization
and picture ID showing your status with such organization. Photocopies will be accepted. Also a
statement which states that the knives are being purchased pursuant to the above conditions and signed
by the purchaser must be included (see below).To do this effectively, make a photo copy of your request
on letterhead with your ID. Also photo copy the above statement and add that you agree to the above
conditions and that the knives are being sold pursuant to those conditions. After verification of these
facts, your knives will be sent. We are sorry for any inconvenience that this may cause, however this is
what our government requires for the sale of such knives. Thank you!

Legal status of products: It is the responsibility of the buyer, not the seller, to ascertain, and obey, all
applicable local, state, federal and international laws in regard to the possession, and use, of any item
purchased from Cutlery To Go. All equipment is sold subject to public law 90-351, title III, U.S.D., Section
2511, and any local, state or federal ordinances. Consult your local and state laws before ordering if you
are in doubt. Absolutely no sales to minors. By placing an order, the buyer represents that the products
ordered will be used in a lawful manner and that the he/she is of legal age. Cutlery To Go will not be held
liable for the misuse of any product purchased from us. Also as no product is 100% effective against
attack, Cutlery To Go assumes no responsibility if a product purchased from us is not effective in
preventing bodily injury, dismemberment or death.

By signing this statement below you release Cutlery To Go of any liability regarding your actions
concerning the sale, use, ownership and shipping of any such knives covered by the section above.

I ___________________________________ agree to the above conditions and hereby state that I will make
no such sales to the general public. Name:__________________________________ Date: ___/___/___
Signature:_______________________________ Business name:_________________________________
Address:______________________________________ Address:_____________________________________
City:________________________ State:_______ Zip:__________ Phone:______________________

ANYONE attempting to falsify information or defraud our company in any way, WILL be turned over to the
proper authorities. Any attempts at extortion or entrapment will also be met with swift legal action! You
must mail or Fax this form to us completely filled out before we can ship to you!
Welcome to Cutlery To Go!