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By submitting this signed agreement you entrust your firearm or frame to American Stipple LLC for permanent modifications to your firearm. Please be aware that in most cases this will void the factory warranty of said firearm. By signing and submitting this form you are requesting the modifications delineated on the order form voluntarily and accept that American Stipple LLC can not be held liable for any and all damage to, misuse of or neglect for said firearm. American Stipple LLC is waived from any and all claims, lawsuits and liabilities of any nature arising from the work done on your firearm by American Stipple LLC. Once the order form has been submitted with the firearm and the package has been received, changes might not be able to be made on the order from it’s original state.

 

 

 

Print Name__________________________________

 

 

 

Signature___________________________________

 

 

 

Date______________