Date: 5/ 2/ 2026
Denver Gas Management, Inc. - Account Enrollment
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Denver Gas Management, Inc. – Product Purchase Agreement, Liability Release, Waiver, Discharge and Covenant Not to Sue and/or Compete
PLEASE READ AND SIGN THIS DOCUMENT CAREFULLY.
BY SIGNING IT, YOU ARE GIVING UP IMPORTANT LEGAL RIGHTS AND ASSUMING LIABILITY.
1. Authority & Capacity to Enter Agreement: This is a legally binding Product Purchase Agreement, Liability Release, Waiver, Discharge, and Covenant Not to Sue (collectively called hereinafter the “Agreement”), made voluntarily by First Name: ________________ Last Name: ________________ (Purchaser's Name or Entity, hereinafter the "Purchaser"), who is of lawful age and has no mental disability and is acting voluntarily with full authority to enter into the Agreement.
2. Lawful Use: The Purchaser has authority and does voluntarily enter this agreement, to buy the Dangerous Product(s) (Carbon Dioxide, Nitrogen, Nitrous Oxide, Oxygen, or other Compressed Gasses and Cryogenic Liquids, Poisonous, Corrosive, or otherwise harmful Mixtures or other Products or Equipment that could be hazardous) and expressly represents the Purchaser will only use, store, transport, and/or possess said purchased product(s) only for a lawful and safe purpose.
3. Knowledge of Risk: The Purchaser fully recognizes that there are inherent risks involved in the handling, use, storage, and/or transportation of the Dangerous Product(s), listed above, which risks include but are not limited to, that the purchased product(s) are poisonous, toxic, cryogenic, flammable, explosive, and/or corrosive. The Purchaser understands that any of the purchased dangerous product(s) can cause life-threatening injuries, including rapid suffocation without any sensation or prior warning, severe burns, severe frostbite, loss of limb and/or loss of life.
a. That protective clothing and/or equipment is needed to avoid contact with eyes, skin, or clothing;
b. That the transport, storing, and use of the purchased product(s) must be done in a well-ventilated, secured space;
c. That purchased product(s) must be kept away from combustible materials.
4. Release & Indemnity: With fully informed consent, the Purchaser assumes all risks and releases the Seller from all claims, damages, or liabilities arising from the purchase or use of products. This agreement binds the Purchaser's heirs and assigns.
Signature: CLICK TO DIGITALLY SIGN Date: 5/ 2/ 2026
DENVER GAS MANAGEMENT, Inc. NITROUS OXIDE INTENDED USE FORM
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