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COMPANY LETTERHEAD DATE Mr. R. Richard Newcomb Dear Mr. Newcomb: I am requesting a license from the Office of Foreign Assets Control (OFAC) of the United States Department of the Treasury for a license to visit the Republic of Cuba for [X] days. [IF YOU WISH TO REQUEST A LICENSE WHICH WILL PERMIT MULTIPLE VISITS TO THE REPUBLIC OF CUBA, THEN INCLUDE THE FOLLOWING SENTENCE AFTER THE LAST SENTENCE IN THE ABOVE PARAGRAPH]: I am seeking a one-year license for multiple visits to the Republic of Cuba. The purpose of the license would be to identify and/or follow-up product export opportunities to the Republic of Cuba under provisions of the Cuban Democracy Act of 1992, which re-authorized the direct commercial export of healthcare products (medical equipment, medical instruments, medical supplies, medicines, and pharmaceuticals) to the Republic of Cuba, provided that the healthcare products are used for the benefit of the citizens of the Republic of Cuba, not re-exported, not sold at Republic of Cuba government-operated U.S. Dollar retail stores, and not used in U.S. Dollar-based services provided by Republic of Cuba government-operated healthcare facilities. [ADD OTHER RELEVENT INFORMATION]. The meeting schedule includes: [THE FOLLOWING ARE ONLY EXAMPLES; PLEASE INCLUDE ALL ENTITIES THAT ARE RELEVENT TO YOUR AGENDA] a) representatives of the Ministry of Public Health of the Republic of Cuba b) representatives of Republic of Cuba government-operated MediCuba (the healthcare product importing division within the Ministry of Public Health of the Republic of Cuba) and c) representatives of Republic of Cuba government-operated healthcare facilities. Our company…. [PARAGRAPH PROVIDING DETAILED DESCRIPTION OF COMPANY; INCLUDING EXPORT-RELATED ACTIVITIES, IF ANY; AND, YOU MAY ALSO ATTACH A COMPANY BROCHURE OR OTHER INFORMATION]. The individual(s) scheduled to visit the Republic of Cuba are: NAME, TITLE; NAME, TITLE; NAME; TITLE. Thanking you in advance, I look forward to a favorable reply to my request for an OFAC license to visit the Republic of Cuba. Warmest regards. Sincerely,
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