FORM 18 - Automatic Knives Acknowledgment & Representations Form

Automatic Knives Can Only Be Sold to Law Enforcement, Military, Government, or Bona Fide Dealers.

To Purchase an Automatic Knife: Please read, print, and complete this form and mail it with a copy of your government, state, or local law enforcement, military, EMT, Fire, or Rescue personnel identification (legibly copied onto Department/Unit/Organization letterhead) to: Culpepper's Specialty Firearms, 412 12th St., Dunbar, WV 25064

Bona fide dealers send copy of state business license and a legible copy of picture ID (Drivers Licence), with this Form. If you do any business with police, fire, EMT or government agencies you are a bona fide dealer.

I, ___________________________, am authorized and legally able to purchase, have shipped to me, and possess an automatic knife according to federal regulations or state laws and I am in compliance with all local, state, and federal laws, statutes, and regulations related to the purchase, shipping and possession of automatic knives, and accept all legal responsibility and liability associated with the purchase, shipping, and possession of an automatic knife. Further, I have read this entire Form, qualify under its terms, and agree to all its contents.

Date:___/___/___

Signature_____________________________________________________

Printed Name__________________________________________________

Qualifying Affiliation/ID_____________________________________

Business Name_________________________________________________

Street Address(No PO Boxes)___________________________________

City_________________________ State_________ Zip Code_________

Phone #_________________________ Fax #________________________

E-mail________________________________________________________

Our Policy Regarding the Sale of Automatic Knives:

Culpepper's Specialty Firearms policy on selling any automatic knives is to comply and adhere with the stated Federal rules and regulations. As such, automatic knives can only be sold to government, state, and local law enforcement, military, EMT, Fire and Rescue personnel with proper identification (per government sales restriction 15USC1244(2-4) see below for full details)or dealers with a state resale licence. Please note some state, city, and local governments may require or have additional purchasing restrictions. Complying with these restrictions is the responsibility of the purchaser. No sales to persons under 21 years old. 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, court costs, and attorneys fees!

Federal Regulations:

18 USC 1716 (g)(2)(1-4) provides this summary: Switchblade knives can be shipped to civilian and Armed Forces supply or procurement officers and employees of the Federal government ordering or procuring or purchasing such knives in connection with activities in the Federal government; supply or procurement officers of the National Guard, the Air National Guard, or the militia of a state, territory, or the District of Columbia ordering, procuring, or purchasing such knives in connection with the activities of such organizations; 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: to manufacturers of such knives or bona tide dealers therein in connection with any shipment made pursuant of an order from any person aforementioned.

15 USC 1244 provides this summary: Knives can be shipped by common carrier, that sale, transportation or distribution, possession or introduction into interstate commerce of switchblade knives is authorized if it is pursuant to a contract with the Armed Forces or any member or employee thereof acting in the performance of his or her duty may possess switchblade knives and may have them shipped to, and sold to, him or her. The possession and transportation upon his or her person of a switchblade knife or a blade 3 inches or less is authorized to any handicapped individual who has the use of only one arm.