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CUSTOMS DECLARATION




Each arriving traveler head of family must provide the following information (only ONE declaration per family is required)

1. Name: _________________________________________________

Last First Middle

2. Date of birth: _______________ 3. Airline/Flight ______________

4. Number of family members traveling with you_________________

5. U.S. Address: ___________________________________________

City: ____________________ State: ___________________________

6. I am a US. Citizen Yes No

If No. Country ____________________________________________

7.I reside permanently Yes No

If No. Expected length of stay: _______________________________

8. The purpose of my trip is: Business Pleasure

9. I am/ we are bringing fruits, plants, meats, food, soil, birds, snails, other live animals, farm products, or I/ we have been on a farm or ranch outside the USA Yes No

10. I am/ we are carrying currency or monetary instruments over

$ 10, 000 U.S. or foreign equivalent. Yes No

11. The total value of goods I/ we purchased or acquired abroad and am/ are bringing to the U.S. is ( see instructions under Merchandise on reverse side): $ _________________

U.S. Dollars

MOST MAJOR CREDIT CARDS ACCEPTED

_________________________________________________________

 

SIGN ON REVERSE SIDE AFTER YOU HAVE READ THE WARNING.

_________________________________________________________

(Don’t write below this line)

_________________________________________________________

Inspector’s name Stamp area

X.People often do these things when they travel. Match the words from columns A and B to make the correct phrases.

A B

apply security

buy for a visa

confirm tickets

collect at the check in

go through one’s flight

line one’s baggage

watch a hotel room

book an in- flight movie

travel to the station

check in a bus or taxi


XI. When you travel, what do you normally do in advance (apply for a visa, etc)? Here is a list of things you do when you travel by plane to another country.


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