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INSTRUCTIONS FOR COMPLETING THIS FORM …

Please print this form in English using blue or black ink, pressing firmly so all information transfers to all copies. Complete the declaration fully and legibly; otherwise, delay and inconvenience may result for the addressee. A false or misleading declaration may lead to a fine or seizure of the item and additional penalties. You may add a translation of the contents in a language accepted in the destination goods may be subject to restrictions. It is your responsibility to comply with import and export regulations and restrictions ( , quarantine, pharmaceutical, etc.)

Please print this form in English using blue or black ink, pressing firmly so all information transfers to all copies. Complete the declaration fully and legibly; otherwise, delay and

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