AFT - CUSTOMER QUALIFICATION AND RELEASE FORM

EVERY ORDER MUST BE ACCOMPANIED BY:

1. DESCRIPTION OF PRODUCTS ORDERED

2. PHOTOCOPY OF DRIVER'S LICENSE OR OTHER PROOF OF IDENTIFICATION PROVING AGE REQUIREMENT OF AT LEAST 21 YEARS OLD.

3. A SIGNED AND DATED COPY OF THIS FORM (PRINT FORM FROM WEB SITE).

4. PAYMENT IN CERTIFIED FUNDS.

BY SIGNING THIS FORM I (THE CUSTOMER) AFFIRM YES TO ALL OF THE FOLLOWING QUALIFICATIONS:

Ø I AM THE ACTUAL BUYER OF THIS FIREARM, AND UNDERSTAND THAT IT IS A CRIME TO SUPPLY OR TRANSFER A FIREARM TO AN UNQUALIFIED PERSON.

Ø I AM NOT UNDER INDICTMENT FOR ANY CRIME, CONVICTED OF A FELONY CRIME, UNDER A RESTRAINING ORDER FOR STALKING OR HARASSING OR THREATENING ANYONE, OR CONVICTED OF A MISDEMEANOR CRIME OF DOMESTIC VIOLENCE.

Ø I AM NOT A FUGITIVE FROM JUSTICE, USER OF ILLEGAL DRUGS, OR DISHONORABLY DISCHARGED FROM THE U.S. ARMED FORCES.

Ø I HAVE NOT BEEN ADJUDICATED MENTALLY DEFECTIVE OR EVER BEEN COMMITTED TO A MENTAL INSTITUTION.

Ø I AM A U.S. CITIZEN AND HAVE NEVER RENOUNCED MY CITIZENSHIP.

Ø I AM AWARE OF PROPER FIREARMS SAFETY RULES, KEEP THE MUZZLE POINTED IN A SAFE DIRECTION AT ALL TIMES, TREAT EVERY FIREARM AS IF IT IS LOADED, KEEP YOUR FINGER OR ANY OTHER OBJECT AWAY FROM THE TRIGGER UNTIL YOU HAVE IDENTIFIED A TARGET AND HAVE DETERMINED THAT IT IS SAFE TO SHOOT. ALWAYS BE AWARE OF PEOPLE AND OBJECTS DOWNRANGE OF YOUR TARGET. IT IS MY RESPONSIBILITY TO BE SURE THAT THE BARREL OF A MUZZLE LOADER IS NEVER OVER CHARGED WITH GUN POWDER.

Ø I AM THE OWNER AND CONTROLLER OF THIS FIREARM AND ASSUME ALL RESPONSIBILITY FOR THE SAFE HANDLING (BY MYSELF OR OTHER PERSONS) OF THIS FIREARM. I AGGREE TO HOLD HARMLESS AFT, INC. OR ANY SUBCONTRACTOR OF AFT, INC. FROM ANY LIABILITY RESULTING FROM THE USE OR MISUSE OF AFT, INC. PRODUCTS. I WILL STORE AFT, INC. PRODUCTS IN A PLACE THAT IS INACCESSIBLE TO CHILDREN OR UNAUTHORIZED PERSONS.

About You (Required) Date: ________________

Name Model Ordered
Address Phone
City, State, ZIP Code
YOUR ORDER WILL NOT BE SHIPPED WITHOUT THIS SIGNED FORM, NO EXCEPTIONS

Mail to: AFT, Inc.  2033 105th Ave. NE  Blaine, MN 55449