end user declaration form

As a matter of high priority, it is the policy of Technology for Energy Corp, D.B.A. “ACES Systems” to comply with US laws and federal regulations restricting the transfer, export, sale or disposal of any product or technical data form the United States. This includes not dealing with embargoed/sanctioned countries as well as not selling to parties or persons on the Denied Parties list(s) as found on the BIS website: https://www.bis.doc.gov/. The intended use is not to be the proliferation of weapons of mass destruction, missile technology, nuclear weapon, biological and chemical weapons, or any other controlled application. All information provided will be kept strictly confidential except where required by United States law, in particular Title 15 of the Code of Federal Regulations, Chapter VII (as enforced by the Bureau of Industrial Security, https://www.bis.doc.gov/). The Validation Period for this form expires one year from signature date.

End User End Use Declaration Form

"*" indicates required fields

Purchaser Information

Purchasing Company Name*

Purchasing Contact Name*

Purchasing Contact Email*

End User Information

End User's Name*

End User's Company (if different from Purchaser)*

End User's Company Website*

Location Where Product Will Be Used*

1. Which ACES Systems product(s) or service(s)are you inquiring about?*

2. Will ACES Systems product(s) be exported outside of the United States?*

Yes

2a. Will ACES Systems product(s) be used for the development and/or manufacture of any weapons?

3. Will the ACES Systems product(s) be used for any military application?*

Yes

3a. Please provide details:

4. What is your company’s primary business activity?

5. How do you plan to use this ACES Systems product and accessories? – Please provide specific info – “for use in laboratory” and/or “for R&D purpose” is not an acceptable reply).

If the above information were to change, for example, items that will be re-exported to a different End-User, you agree to provide ACES Systems with written notification of the changes. ACES Systems will be compliant with all applicable U.S. import, export control and sanctions laws, regulations, orders, and requirements. By signing, you certify that you have reviewed, understand, and agree to abide by these terms and conditions that apply to quotations, sales, and service. By electronically signing, you also certify that, to the best of your knowledge, the information provided is accurate and complete.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

end user declaration form

End User End Use Declaration Form

Purchaser Information

End User Information

Product Line

Etc.

Support

Partners

Quick Links

Applications