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

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1. Name: Last______ First ______ Middle Initial______¡q©m¦W: ©m _____ ¦W_____ ¤¤¶¡¦W_____¡r

2. Birth date¡G Day ________ Month ________ Year ________ ¡q¥X¥Í¤é´Á¡G ¤é ________ ¤ë ________ ¦~ ________¡r:

3. Number of family members traveling with you¡q»P§A¦P¦æªº®a®x¦¨­û¤H¼Æ¡r:

4. a. U.S. street address (hotel name/destination)¡G¡q¦b¬ü©~¦í¦a§}(®ÈÀ]¦WºÙ/¥Øªº¦a¡r:

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