AIRTECH INTERNATIONAL, INC. SUPPLIER DECLARATION
For assistance in completing this Declaration see the Guidance Notes on next page.
Question 1: Do any products which you supply to Airtech International, Inc. contain any Conflict Minerals?
‘Conflict Minerals’ are the following metals and ores:
1. Tin and Cassiterite.
2. Tantalum and Columbite-Tantalite for ‘Coltan’T
3. Tungsten and Wolframite.
Yes Proceed to Question 2No Ignore questions 2, 3 and 4 - please sign the Declaration
Question 2: Do the Conflict Minerals originate from the DRC Region?
The DRC Region’ means the Democratic Republic of Congo and its neighboring countries which are currently Angola, Burundi, Congo, Central African Republic, Rwanda, South Sudan, Tanzania, Uganda and Zambia.
Yes Proceed to Question 3
No Ignore Questions 3 and 4 - please sign the Declaration
Question 3: Do the Conflict Minerals originate from scrap or recycled sources?
Yes Ignore Question 4 - please sign the Declaration
No Proceed to Question 4
Question 4: Please list the products in question and the Conflict Minerals they contain.
|Product||Conflict Minerals Contained||Origin of Conflict Minerals|
(Attach additional sheets if required)
We confirm, to the best of our knowledge and belief and having made reasonable enquiry, that the answers given in this Declaration are true.