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Get CBP 6059B 2004

R family is required): 1. FamilyName 19CFR 22.27, 1 148.12, 148.13, 148.110,148.111,31CFR 6 14S8i 531 Ftlr.;t (Giorn) 2. Birdr date Middle D^y Month Year 3. Number of Family members traveling with you 4. (a) U.S. Street Address (hotel name/destination) (b) City (c) State 5. Passport issued by (country) 6. Passport number 7. Country of Residence 8. Countries visited on this rip prior to U.S. arrival 9. Airline/Flight No. or Vessel Name 10. The primary purposeof this trip is business: I l..

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