Word Version File number Subject matter Notice is given that, Name of person, company, foreign government or Canadian government institution , intends to participate in the above-referenced matter. Counsel information Counsel information The undersigned will not be represented by counsel*. The undersigned will be represented by counsel*. Name of counsel* Address of counsel* *The term “counsel” includes any person who acts in a proceeding on behalf of a party. Party information Name of authorized official Title of authorized official Company name Address City and province Telephone Fax Email Postal code I understand that checking this box constitutes my legally binding signature. This box must be checked for the form to be considered complete. Dated at Location this Day day of Month 20 Year Print