TANNERITE® EXPLOSIVES
STATEMENT OF INTENDED USE
LIABILITY WAIVER AND HOLD HARMLESS AGREEMENT
I (Print Name): _________________________am a citizen of the USA who wishes to use
Tannerite® Brand Binary Rifle Targets for sporting use in conjunction with lawful firearms
exercise. I understand that “Bulk” Tannerite® is offered to certain individuals who wish to make
smaller targets than the standard 1 and ½ lb targets for the reason of saving money and
creating less noise (When used near neighbors, etc). I state that I am using this product in a
safe and lawful manner and will not transfer it to others unless they provide positive ID and are
known to me.
_________________________________________
Signed
___________
Date
_______________________________________________________________
Address (including County)
_________________
Driver’s License
______________
Date of Birth