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Fax Completed Documentation to DHL Canada at: 905-405-8773 GENERAL AGENCY AGREEMENT AND POWER OF ATTORNEY WITH POWER TO APPOINT A SUB-AGENTKNOW ALL MEN BY THESE PRESENTS thatI/We (name of Client)of (Address)dohereby constitue and appoint DHL Customs Brokerage Ltd.a Customs Broker licensed under the Customs Act, of 6205 Airport Road, Mississauga, Ontario, L4V 1E1 my true and lawful attormey to transact business on my behalf in all matters relating to the import and export of goods, including but not restricted to: I) the release of and accounting for goods, document and data preparation, payment of, and refund of, all government duties, taxes, and levies in respect of imported and exported goods released or to be released; ii) the transportation, warehousing and distribution of such goods.AND IN CONNECTION THEREWITH: a) to obtain, sign, seal, endorse and deliver for me all bonds, entries, permits, bills of lading, bills of exchange, declarations, claims of any nature, or other means of payment or collateral security which comes into his possession and to use same, including drawbacks and claims of any nature for reimbursement of duties, taxes, levies and the like: b) to receive all such payments and sums of money as are now due or may hereafter become due and payable to me relative to the foregoing; and to endorse on my behalf and as my attorney and to deposit to and for his own account all such payments.I acknowledge that any duties, charges or other amounts paid on my behalf or to my account by my attorney or sub-agent shall be a debt due by me to my attorney or sub-agent and any refund, rebate or remission of such duties, charges or other amounts shall be the property of my attorney or sub-agent and I direct and authorize any governmental agencies collecting same to deliver such rebate, refund or remission to my attorney or sub-agent.I hereby certify that, to the best of my knowledge, all documents and/or information that will be provided to my aforesaid attorney by myself or on my behalf, in connection with this mandate, will be true, accurate and complete.I further grant my attorney full power and authority to appoint any other person to whom a license to transact business as a Customs Broker has been issued under the Customs Act as a sub-agent to transact the aforesaid business on my behalf and to revoke any such appointment and to appoint any other person who holds such a license as a sub-agent in the place of any sub-agent whose appointment has been revoked, as he, my attorney, shall from time to time think fit.I hereby agree that this Agency agreement and Power of Attorney and all transactions hereunder shall be governed by the Standard Trading Conditions of the Canadian Society of Customs Brokers which are on the reverse side hereof and wich have been read by the undersigned.I hereby ratify and confirm and agree to ratify and confirm all that my said attorney may do by virtue hereof.This Agency Agreement and Power of Attorney shall be and remain in full force and effect, until due notice of its revocation shall be given to my aforesaid attorney, in writing and subject to Article 8 of the Standard Trading Conditions.In witness whereof (Corporate Name)has caused these presents to be sealed, attested to by the signature of its duly authorized officials at (Name of Municipality)in (Name of Province)this day of20Corporate NameBy:(Signature)(Printed Name & Title)Name- Office HeldBy:(Witness)(Printed Name & Title)Accepted by:Date:
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