OnLine Buyer Disclaimer Form In order to process your Online order for Name: Black Powder Firearms and Ammunition, Address: this form must be completed in full. City, State & Zip:
1. Please read all the information carefully Phone: 2. Fill in all of the information. Fax: 3. Upon completion, print and sign this page. Driver's License #: 4. Make a photocopy of your Driver's License. Date Order was Placed: 5. Return this form via fax or mail with a copy of your Driver's License to: OWS Online Sales Dept.
Federal, State, and Local Laws
Old Western Scrounger LLC does not grant the legal right or authorize the purchase or possession of items including but not limited to Firearms and Ammunition that may be regulated in your state or municipality. You must be at least 21 years of age to purchase Ammunition and be under no legal disability as provided under 18 U.S.C. 922 (D) (1)-(7). For safety reasons, ammunition and other hazardous materials cannot be returned. Ammunition can only be sent to the 48 contiguous United States via UPS ground. Limitation of Liability Old Western Scrounger LLC does not assume any liability from any use by you of any information that has been provided to you. By using the information, you acknowledge that there are potential hazards which may cause damage to you and to others. You agree to hold harmless Old Western Scrounger LLC from any liability resulting from your use of the information. Old Western Scrounger LLC makes no representation or warranty of any kind regarding results you may obtain from using any information, materials, products or services offered on the Old Western Scrounger LLC Website. Use of the Old Western Scrounger LLC Website is at the user's sole risk. UNDER NO CIRCUMSTANCES SHALL OWS, LLC BE LIABLE OR RESPONSIBLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES OR DIRECT OR INDIRECT DAMAGES THAT RESULT FROM YOUR USE OF THE PRODUCTS OFFERED ON THE OWS WEBSITE. Some states do not allow the exclusion or limitation of liability for consequential or incidental damages. Thus, this disclaimer is limited to the extent permitted under state law.
I hereby certify that I am of legal age, I am not a convicted felon and I am not breaking any state or local laws by purchasing Ammunition. I have read and understand all of the above information.
Signature: __________________________________ Date: _____________________ A copy of your Driver's License must be faxed or mailed to:
Online Sales Department OWS-AMMO 219 Lawn Street Martinsburg, WV 25401 Phone: (304) 262-9870 Fax: (304) 262-1658
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