Customs Declaration Release Form
Please complete the information below for customs clearance.
Full Name
First Name
Last Name
Passport Number
Nationality
Please Select
United States
Canada
United Kingdom
Australia
Other
Date of Arrival
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Description of Goods
Value of Goods (in USD)
Reason for Import
Signature
Submit
Should be Empty: