Razor Sharp Unlimited
11134 US Hwy 19
Port Richey, Fl 34668
STORE 727-697-3952
FAX 727-232-1518
COPY & PASTE FORM 18 AUTOMATIC
PLEASE VIA EMAIL OR MAIL OR FAX TO:
STATEMENT OF ACKNOWLEDGEMENT AND REPRESENTATION
WE/I, _______________________________________, are/am authorized to purchase automatic knives
as described in 18 USC 1716 (g) (2) (1-4) and as such represent and state that sales will not be made to the general public, but will only be made to those individuals and entities as described in;
18 USC 1716 (g) (2) (1-4) and 15 US 1244 2-4).
Dated this ____day, _____________, 20_________.
Signature_____________________________________________________________________
Printed Name__________________________________________________________________
Company Name________________________________________________________________
Address______________________________________________________________________
City_______________________________State_______________Zip____________________
