Download Export Compliance Statement

EXPORT COMPLIANCE STATEMENT
Dear Valued Customer:
The commodities purchased from (insert company name) (“Seller”) and the supporting technical
data are subject to the United States Government’s Export Administration Regulations (“EAR”)
or the International Traffic in Arms Regulations (“ITAR”), and to regulations enforced by the
U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”).
Please complete and return this Export Compliance Statement and the Seller will retain this
document for future orders.
Customer Name (“Customer”):
Customer confirms that in the event it will sell, resell, license, transfer, export or re-export any
commodity purchased from Seller in any manner, to any person, to any country, or for any use,
Customer will do so only in full compliance with the laws and regulations of the United States
Department of State, Department of Commerce and Department of the Treasury, including but
not limited to the Arms Export Control Act, Export Administration Act, Foreign Corrupt
Practices Act, Anti-Boycott Law, and their implementing regulations, including regulations
enforced by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”).
Customer also confirms that the commodities and technical data acquired from Seller will not be
used for any purpose connected with chemical, biological, or nuclear weapons, or missiles
capable of delivering such weapons, nor will they be resold if it is known or suspected that the
commodities or technical data are intended or likely to be used for such purpose.
Customer acknowledges that it will be responsible for any violation of the foregoing.
Signature of Authorized Company Representative
Name (Printed):
Signature:
Title:
Date:
PLEASE TYPE or PRINT CLEARLY. RETURN BY FAX (941-739-3201)
or email: ([email protected])
TC-008 REV 2
April 2015