Xmachine WM-100 Backer Contract & Export Compliance

Dear Backer,

Thank you for your support of Xmachine WM-100! To finalize the purchase contract, End-User and End-Use Certificate and End-User Profile, please accurately complete the information below.

IMPORTANT NOTICE REGARDING EXPORT COMPLIANCE:

The information provided in this form will be used to generate official regulatory documentation. Please complete this form with utmost caution and accuracy. Any inconsistencies or inaccuracies may lead to delays, rejection, or failure in obtaining export approval clearances.

Backer number

Format: e.g., 125 — do not include “#” or other symbols. Multiple numbers may be entered. If you have backed us using two or more Kickstarter accounts, please write down all your backer numbers.

Shipping Contact Name

Contact Email Address

Please ensure you can be reached via this contact for contract and shipping updates.

Contact Phone Number

Please include the country code (e.g., +1 234 567 8900), and ensure you can be reached via this contact for contract and shipping updates.

Physical Shipping Country

Please select your destination country below.

Full Physical Shipping Address

Please ensure this shipping address will NOT change, as it will be submitted directly for customs clearance. Provide a full, detailed address including Country/Region, State/Province, County/District, City, Street Address, Building/Suite/Apartment Number, and Postal/ZIP Code.

Purchase Entity Type

For-Profit Entity (Private Company, Corporation, LLC, etc.)

Non-Profit or Public Institution (University, School, Hospital, NGO, etc.)

Other

Quantity Purchased

1 unit

2 unit

Other

End-use of the equipment

Please briefly describe the detailed intended end-use of the equipment. The equipment shall not be used for military applications, the production of military components, weapons, weapons of mass destruction or their delivery systems. Common end-use samples: 1) Maker DIY production, processing of small tools, positioning jigs, inspection fixtures and custom handcrafted parts 2) Factory sample fabrication and rapid prototype validation for new product development 3) 3D wax pattern carving for jewelry, including rings, pendants, bracelets and decorative ornaments

Full Official Company / Entity Name

This information will be explicitly incorporated into your sales contract. The entity will act as the buyer and consignee under the sales contract, and also as the end-user stated in the End-User and End-Use Certificate.

Full Registered Address

Provide a full, detailed address including Country/Region, State/Province, County/District, City, Street Address, Building/Suite/Apartment Number, and Postal/ZIP Code.

Business Scope

Example: “Design and manufacturing of industrial photography equipment and precision optical accessories.”

Total Asset Scale (USD)

Approximate total assets of the entity in USD. How to calculate: sum up the estimated value of cash, equipment, inventory & raw material, and other assets. Example: $50,000 (Cash) + $30,000 (Equipment) + $20,000 (Inventory & raw material) + other assets = $100,000 USD.

Previous Year's Sales Revenue (USD)

Annual sales revenue (total sales income from goods and services) for the previous financial year in USD. Non-profit entities may enter “0”.

Number of Employees

Please enter specific numbers.

Main Downstream Customers / Target Industries

Example: “Civil automotive aftermarket, consumer electronics, educational research institutes.”

Official Website

Business License / Registration documents

Please upload the official business registration certificate and business license of your company. Allowed formats: PDF, PNG, JPG. If you cannot provide these documents, please clearly state that you do not have them and briefly explain the reason.

Tap to upload files

PDF / PNG / JPG, max 20 MB per file. Multiple files supported.

English Translation of business registration certificate and business license (If applicable)

If the original documents are not in English, please upload an English translation version. Allowed formats: PDF, PNG, JPG.

Tap to upload files

PDF / PNG / JPG, max 20 MB per file. Multiple files supported.