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If there are questions related to information contained on the BIS-711 we will be consulted for feedback. How to complete the BIS-711 form: ALL SECTIONS SHOULD BE EITHER TYPED OR PRINTED LEGIBLY IN ENGLISH. Sections 1-6 – Must be completed by Final Customer (End-User/Ultimate Consignee).

FORM BIS-711 FORM APPROVED UNDER OMB CONTROL NO. 0694-0021, 0694-0093 Information furnished herewith is subject to the provisions of Section 12(c) of the Export Administration Act of 1979, as amended, 50 U.S.C. app 2411(c) and its unauthorized disclosure is prohibited by law. DATE RECEIVED (Leave Blank) STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER Title: FORM BIS-711 Author: SBaker Created Date: 4/21/2003 4:17:05 PM SUPPLEMENT NO. 3 TO PART 748 - BIS-711, STATEMENT BY ULTIMATE CONSIGNEE AND PURCHASER INSTRUCTIONS All information must be typed or legibly printed in each appropriate Block or Box. Block 1: Ultimate Consignee.

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