DECLARATION
TO WHOM IT MAY CONCERN
Personal Declaration in Relation to Enclosed Products
The contents of this package are my property and consist of medication, which
is for my own personal use.
I have actively sought a supplier for these products and have not purchased
them in response to any advertising of the product or its benefits. I have ordered
and purchased these products to treat a [debilitating] or [life
threatening] health condition I suffer from only after consulting with
a knowledgeable and competent medical practitioner (we recommend you include
practitioners name, city, state and phone number here)
Prescription Number (if applicable) :
Practitioner Name :
City :
State :
who has both a scientific and practical knowledge of their use.
They are not new or investigational drugs and this delivery consists of less
than a 90 day supply which complies with guidelines for the importation of medicines
for personal use.
As I need the enclosed products quickly for my personal health care, I request
that you do nothing to delay their passage to me and in fact do all you can
to ensure they reach me in a timely manner.
Thank you and regards,
____________________ (Full Name)