Air Transportation Regulations (SOR/88-58)

(Other Air Carrier or Corporation)

(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 carrier), of (address) do hereby constitute and appoint (name of air carrier/corporation) of (address) my/our true and lawful attorney for me/us 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.)

AND I/we hereby undertake to ratify whatsoever the said (name of air carrier/corporation) 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 other air carrier or corporation)

(Corporate seal)