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Surplus Food Rescue Program: Signature of Applicant Authorized Representative

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Instructions for completing this form

You can use either the PDF (705 KB) version of the form or the Web version below.

Please complete, print, sign, scan and save this form. You must then attach it to the Application Form.

I confirm that I have read, understood and agree with the Program Applicant Guide.

I acknowledge that the submission of this Project Application Form by the applicant creates no obligation on the part of Agriculture and Agri-Food Canada to provide funding for the Applicant's Project proposed therein.

The information given in and with the Project Application Form for
is to the best of my knowledge complete, true and correct.

The applicant authorises its representative(s) to submit and sign this Representative Form to be submitted to AAFC as part of the Project Application Form.

The signatories below hereby represent and declare that they are duly authorized to act on the Applicant's behalf to sign this form and bind the applicant.

For Organizations

Signature

For Individuals

Signature

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