MULTIPLE PA FORM
®
Registered trade-marks of Bank of Montreal, used under licence.
BMO InvestorLine Inc. is a wholly owned subsidiary of Bank of Montreal.
Member – Canadian Investor Protection Fund and Member of the Investment Industry Regulatory Organization of Canada.
Please Print Name Please Sign Name
[to be signed by all attorneys listed on the power of attorney document]
A
Order Execution Only Account
0076-SD-E (06/2016)
MULTIPLE PA
ACCOUNT NUMBER:
____________________________________________________________
The undersigned, being all attorneys (the “PAs”) of
____________________________________________ ,hereby provide
notice to BMO InvestorLine Inc. as follows:
The attorneys confirm by signing this form that they are aware of their role and their requirements as power of attorney.
BMO InvestorLine Inc. is hereby authorized to rely, without further inquiry, on such instructions given by any of the PAs on the understanding that such
instructions meet the necessary requirements as outlined in the terms of the power of attorney agreement.
Dated (YY/MM/DD):
1
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