Air Transportation Regulations (SOR/88-58)

(Agent)

(Corporate name and address of air carrier)	CTA(A)(PA) No. cancels	(number consecutively)
	CTA(A)(PA) No.
	Type of Service	(Passenger, Goods or Passenger and Goods)
	Date

I/we, (insert name of issuing air carrier), of (address) do hereby constitute and appoint (name of agent) of (address) my/our true and lawful attorney to receive concurrences in tariffs and to publish and file tariffs, including the removal of material from tariffs that has not been accepted by the Agency as well as any supplements thereto or revised pages thereof, as required of carriers by the Canada Transportation Act, and the regulations made thereunder, until these presents be cancelled or revoked in accordance with such regulations, for the traffic and territory now herein named. (Describe traffic and territory)

In the event of the said (name of agent) dying or becoming incapable of acting or refusing to act or becoming bankrupt, I/we hereby appoint (name of substitute agent) of (address) my/our true and lawful attorney from and immediately after the happening of any of the said events to perform all acts in the same and like manner in all respects as the said (name of first agent) could have done and I/we accordingly grant to and vest in the said (substitute agent), as from the date of such event all and every the same or the like powers and authorities in or concerning the premises in all things as are herein given to or vested in the said (first agent) and as if the name of the said (substitute agent) had, throughout these presents, been inserted instead of the name of the said (first agent).

And I/we hereby undertake to ratify whatsoever the said (first agent) or the said (substitute agent) shall lawfully do or cause to be done by virtue of these presents.

IN WITNESS, etc.

SIGNED, SEALED, etc.

In the presence of

(Witness)		(Duly authorized person)
(Witness)		(Duly authorized person)

Duplicate mailed to: (name and address of agent)

(Corporate seal)