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SAMPLE - USPS.com® - Corporate News and …

INSTRUCTIONS FOR COMPLETING THIS form (Remove this page prior to completing 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 country. Your goods may be subject to restrictions. It is your responsibility to comply with import and export regulations and restrictions ( , quarantine, pharmaceutical, etc.)

PS Form 2976-A, ul 2013 PSN 7530010009834 Block 10: Except for shipments to APO/FPO/DPO addresses, enter an Automated Export System (AES) Internal Transaction Number (ITN), AES Exemption, or if applicable, an AES Downtime Citation.

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