WELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE trEASURY UNITED STATES CUSTOMS SERVICE 财政部 美国海关署 CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Family Name: 1. 姓: 2. First Name2. 名3. Middle Initial3. 中间名4. Date of Birth: (Day/Month/Year) 4. 出生日期: 日/月/年 5. Airline/Flight No. : 5. 航空公司/航班号: 6. Number of family members traveling with you6. 与你同 行的家庭成员人数: 7. (a)Country of Citizenship: 7.(a)国籍: 7. (b)Country of Residence: 7. (b)所居住国家: 8. (a) U.S. Address (Street Number/Hotel/Mailing Address to U.S.): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）: 8. (b) U.S. Address (City): 8.(b)在美国地址（城市）: 8. (c) U.S. Address (State): 8.(c)在美国地址（州）: 9. Countries visited on this trip prior to U.S. arrival9. 在到达美国之前此行所访问过的国家10. The purpose of my trip is or wasBUSINESS Personal10. 此次旅程的目的是商务 个人11. I am (we are) bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products; or, have been on a farm or ranch outsidethe U.S. : YES NO11. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗 是 否12. I am (we are) carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. YES NO12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是 否13. I have (we have) commercial merchandise, U.S.or foreign:(Check one box only) YES NO13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是 否14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only): $___________________ U.S. Dollars14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值):$ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背面签字(不要在此线下面签字) INSPECTOR’S NAME STAMP AREA检察员姓名 盖章区域BADGE NO徽章号码。