Get CBP 3124 2009
PLICANT'S NAME AND ADDRESS (Principal Office) (Indicate fictitious name, if applicable) 19 U.S.C. 1641; 19 CFR 111.12 INSTRUCTIONS: Applicants must be United States citizens. Pursuant to the requirements of 19CFR 111.12 (b) the information contained in Blocks 1,2,3,22 and 23 may be released to the public and posted by appropriate electronic means. Submit application in duplicate to the Port Director of the Port name in Block 3. All additional continuation sheets, if required, and attachments s.
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