Cibc Investor Services General Power Of Attorney Form Page 2
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66721-2016/03
Page 2 of 6
CIBC Investor Services Inc. General Power of Attorney
9.
I acknowledge that I have read and understand all of the provisions contained in this instrument and that I have received a copy of it.
10. This Power of Attorney does not necessarily revoke any Power of Attorney that I have previously signed, but if a previous Power
of Attorney has clauses that are inconsistent with this one, the terms of this one will prevail. I may sign other Powers of
Attorney in the future.
11. The parties confirm that they have requested this agreement and all documents relating thereto to be drawn up in the English language only.
Les parties confirment avoir exigé que ce contrat et tous les documents s'y rapportant soient rédigés en anglais seulement
Confirmation of Acts of Attorney(s)
I hereby ratify and confirm all acts of my Attorney(s) in connection with this Power of Attorney will indemnify and hold CIBC Investor
Services, its directors, officers and employees harmless against, and I will pay promptly on demand, any loss, liability or expenses
(including any legal costs) CIBC Investor Services incurs or may be under or any claim made against CIBC Investor Services which
relate in any way to CIBC Investor Services’ actions under this Power of Attorney.
X
Signature of Account Holder
Witnesses must not be the Attorney or the Attorney's spouse.
Name of Witness
X
Address of Witness
Signature of Witness
Name of Witness
X
Address of Witness
Signature of Witness
CIBC Investor Services Inc. is a subsidiary of CIBC and a Member of the Canadian Investor Protection Fund and Investment Industry Regulatory Organization of Canada.
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