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The Eastern Caribbean Dollar (XCD) is the main form of currency, and it is tied to the US Dollar, with $1 equal to EC$2.65 (long-standing, pegged rate). U.S. currency can be used nearly everywhere. Major currencies and travelers checks can be exchanged at the international banks in St John's and at many hotels. Credit and debit cards are widely accepted but there are not many ATMs in the area, so it is best to make arrangements around this.
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