Miracle Cleaning Products INc. ENDORSES ONLY THE *INDUSTRIAL USE* of the products it sells!!! WE SELL ONLY TO BUSINESS OWNERS.
This solvent is NOT FOR RE-DIsTRIBUTION OR RESALE BY YOU. ANY one giving fraudulent information on this form is opening Self to prosecution!!!!!
AS A RESPONSIBLE BUSINESS OWNER, I UNDERSTAND the STANDARDS and the LAWS of my community. By ordering this product I am CERTAIN that I have not violated ANY laws. This product is being PURCHASED/RECEIVED by me (print your name/BUSINESS NAME : __________________________________________
to be used for-----------------------------------(state your application) and WILL NOT be used in any other manner AND WILL NOT BE RE-DISTRIBUTED OR RESOLD by me.
I also fully understand that I AM RESPONSIBLE FOR MY ACTIONS AND I INTEND TO ACT IN A RESPONSIBLE MANNER.************** This is my Printed signature and my cursive signature written here by MY hand on this day:
