Imports of Certain Textile and Apparel Goods From Costa Rica Customs Duty Remission Order (SOR/2002-399)

I, the exporter of the goods referred to in the attached invoice or sales agreement, hereby certify that those goods comply with the applicable requirements specified in Appendix III.1.6.1 of Annex III.1 to Chapter III of the Canada-Costa Rica Free Trade Agreement.

NAME:

TITLE:

COMPANY:

TELEPHONE:

FAX:

INVOICE NO.:

Signature of Exporter

Date