Declaration

 

 

I, the undersigned, exporter of the goods covered by this document (invoice), hereby declare that except where otherwise indicated the aforementioned goods are of Israeli origin and comply fully with the rules of origin as stipulated in the Agreement on the Establishment of a Free Trade Area between the Government of Israel and the Government of the United States of America.

 

I am aware that if this declaration proves to be false or incorrect in any way, I am liable to punishment in accordance with the law.

 

 

Name_____________________               Title_____________________________

 

Signature__________________               Date____________________________