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IX. Fill in the U. S. Customs Declaration form

WELCOME to the UNITED STATES

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

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