Us Customs Clearing Form - Point Roberts Marina (Page 2 of 2) in pdf

Us Customs Clearing Form - Point Roberts Marina Page 2

U.S. Customs Clearing Form

This is not an official government form, it was prepared by Point Roberts Marina for the convenience of it

customers. Information provided is subject to change at anytime by the US Customs office.

To facilitate clearing US Customs, please prepare this form prior to calling for clearance.

Point Roberts - US Customs telephone 360—945-2314

ARRIVAL NUMBER:

Boat

Name:__________________________________________________________________

Reg Number:____________________________________________________________

Manufacturer:___________________________________________________________

Year:__________________Length:______________Type:_______________________

Decal Number: _______________Flag:_______________________________

Master

Last Name:___________________________ First Name:________________________

Address:_______________________________________________________________

City:________________________State/Prov_______________Postal/Zip:__________

DOB:___/___/___Citizenship:__________________

Last Canadian Port:______________________________________________________

Please supply one of the following for document# - in order of preference

1. Passport

2. Birth Certificate

3. Drivers License 4. Government issued ID

Document #___________________ Type:____________________________________

Home Phone No:________________________________________________________

Passengers

Name: ___________________________________DOB___/___/___ Doc#_______________________

Y:\NEW FILE STRUCTURE\Marina Office\Customs & Immigration\US_Customs_Clearing & form.doc

Us Customs Clearing Form - Point Roberts Marina Page 2