BACKSLASH POST -- CUSTOMS DECLARATION (CN22)
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Use this form for items sent outside the customs union with a value up to GBP 270.

Sender name ......................................................
Sender address ...................................................
Contents description .............................................
Quantity .........  Weight (kg) .........  Value (GBP) .........
Category:  [ ] Gift   [ ] Documents   [ ] Commercial sample   [ ] Other
Tariff/HS number (if known) ......................................

I declare the particulars given are correct and this item contains no
dangerous or prohibited goods.

Signature ...............................  Date ..................