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CERTIFICATION OF ORIGIN USMCA* / CUSMA** *United States-Mexico-Canada Agreement / **Canada-United States-Mexico Agreement Please print or type 1. EXPORTER NAME AND ADDRESS 2. BLANKET PERIOD

CERTIFICATION OF ORIGIN USMCA* / CUSMA** *United States-Mexico-Canada Agreement / **Canada-United States-Mexico Agreement Please print or type 1. EXPORTER NAME AND ADDRESS 2. BLANKET PERIOD (DD/MM/YY)

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