Form Prop 65

CALIFORNIA PROPOSITION 65 ACKNOWLEDGEMENT

Alcas S.p.A. and Alcas USA Corp require your confirmation electronically of receipt of the above notice.

Fill out the appropriate fields below for acknowledgement. If we do not receive confirmation, we will be unable to ship your products to you. After you acknowledge that you have read the notification by clicking and signing below, a confirmation receipt will be generated and sent to you.

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Company Name *

First Name *

Last Name *

Address 1 *

Address 2

City *

Zip / Post Code *

Job Title *

Email *

I acknowledge that I am an authorized agent, for purpose of complying with Proposition 65, and that our company has received this Propositon 65 Notice from Alcas S.p.A. and Alcas USA Corp, and that understands our obligations to comply with California 65 regulations. *

We agree to provide Alcas Prop 65 notices to any retail seller that is allowed to sell Alcas products. *

We agree to indemnify and hold harmless Alcas S.p.A. and Alcas USA Corp for any liability if the distributor or the retail seller fail to provide the notice. *

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Form Prop 65

CALIFORNIA PROPOSITION 65 ACKNOWLEDGEMENT

ALCAS USA CORP