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ThermalHog.com ITAR Compliance Form

ITAR Compliance Acknowledgement

 

Customer Name:_____________________________________________

Phone No:__________________

Address:_______________________________________________________________________________

City:___________________________ State:___________________ Zip Code:________________ 

 I understand that the products, technologies and services listed on the attached purchase order may be subject to one or more of the export control laws and regulations of the U.S. Government and that they may fall under the control jurisdiction of either the Department of State's International Traffic in Arms Regulations (ITAR) or the Department of Commerce's Export Administration

 I understand that it is unlawful to export, or attempt to export or otherwise transfer or sell any hardware or technical data or furnish any service to any foreign person, whether abroad or in the United States (U.S.), for which a license or written approval of the U.S. Government is required, without first obtaining the required license or written approval from the department of the U.S. Government

 I understand that, in the ITAR (120.16), a foreign person means any natural person who is not a lawful permanent resident as defined by 8 U.S.C. 1101(a)(20) or who is not a protected individual as defined by 8 U.S.C. 1324b(a)(3). It also means any foreign corporation, business association, partnership, trust, society or any other entity or group that is not incorporated or organized to do business in the U.S., as well as international organizations, foreign governments and any agency or subdivision of foreign governments (e.g., diplomatic missions). History: 59 FR 25811, May 18, 1994; 71 FR 20534, Apr. 21, 2006.

 I understand that I am responsible for compliance with any and all U.S. Government export controls and regulations and that, if I violate them, it could result upon conviction in severe criminal and civil penalties (including substantial fines, imprisonment, seizure of controlled products and technical data, and/or suspension/removal of export privileges) for my company and me.

 I am purchasing the articles identified on the attached order for use or resale in the United States only.

 I understand that these items will not be exported, provided to foreign persons in the U.S. or sold domestically for export by a third

party (including U.S. Government Agencies.).

 I am a legal citizen of the United States of America.

Signature:______________________________________________________ Date:_________________________

Print Name:_____________________________________________________

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