Air Transportation Regulations (SOR/88-58)

(Corporate name and address of concurring air carrier)	CTA(A) LC No. cancels	(number consecutively)
	CTA(A) LC No.
	Type of Service	(Passenger, Goods or Passenger and Goods)
	Date

LIMITED CONCURRENCE IN TARIFF CTA(A) NO. ISSUED BY (name of issuing carrier or agent)

This is to certify that (name of concurring carrier) assents to, and concurs in, joint tariffs, supplements thereto or revised pages thereof that may hereafter be published and filed by (name of carrier or agent issuing tariffs) in which this carrier is named as a participant insofar as such tariffs, supplements and revised pages contain tolls or terms and conditions applicable to destinations served by this carrier, or are applicable via this carrier’s service to destinations served by other carriers, except (state here the extent of the exception), and hereby makes itself a party thereto and bound thereby.

This certificate expires with the cancellation or expiration of the tariffs to which it applies unless sooner revoked.

(Signature, name and title of authorized officer or agent)

Duplicate mailed to: (name and address of carrier or agent in whose favour concurrence is executed).

Note: If this concurrence is to apply to a supplement, this form may be modified accordingly.