Common use of TO BE COMPLETED BY PARTICIPANT Clause in Contracts

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXC Shares) Number of Baskets Surrendered: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Canadian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Dollar Amount required for the Redemption Order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement in 3 business days. Date Authorized Person’s Signature

Appears in 6 contracts

Samples: Participant Agreement (Currencyshares Canadian Dollar Trust), Participant Agreement (Currencyshares Canadian Dollar Trust), Participant Agreement (Currencyshares Canadian Dollar Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXC Shares) Number of Baskets SurrenderedTransacted: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Canadian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Dollar Amount required for the Redemption Purchase Order entered into on this day will be finalized and this Redemption Purchase Order will serve as a legally binding contract for settlement in 3 business days. Date Authorized Person’s Signature

Appears in 6 contracts

Samples: Participant Agreement (Currencyshares Canadian Dollar Trust), Participant Agreement (Currencyshares Canadian Dollar Trust), Participant Agreement (Currencyshares Canadian Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXC FXA Shares) Number of Baskets SurrenderedTransacted: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Canadian Australian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Australian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Australian Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Australian Dollar Amount required for the Redemption Purchase Order entered into on this day will be finalized and this Redemption Purchase Order will serve as a legally binding contract for settlement in 3 business days. Date Authorized Person’s Signature

Appears in 5 contracts

Samples: Participant Agreement (Currencyshares Australian Dollar Trust), Participant Agreement (Currencyshares Australian Dollar Trust), Participant Agreement (Currencyshares Australian Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: (One Basket = 50,000 FXC FXA Shares) Number of Baskets Surrendered: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Canadian Australian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Australian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Australian Dollar Amount represented will be decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Australian Dollar Amount required for the Redemption Order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement in 3 business days. Date Authorized Person’s Signature

Appears in 5 contracts

Samples: Participant Agreement (Currencyshares Australian Dollar Trust), Participant Agreement (Currencyshares Australian Dollar Trust), Participant Agreement (Currencyshares Australian Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Time: Firm Name: Fax Type of Order (Check Creation or Redemption): Creation of FXC Redemption of FXC Number of Creation Units (CU) Transacted (One CU = 50,000 FXC): Number: (One Basket = 50,000 FXC Shares) Number of Baskets SurrenderedWritten Out: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares CurrencyShares® Canadian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such the Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Dollar Amount represented will be increased or decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Dollar Amount and Transaction Fee required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement in 3 2 business daysdays or as otherwise set forth in the Participant Agreement. Date Authorized Person’s Signature

Appears in 3 contracts

Samples: Participant Agreements (Currencyshares Euro Trust), Participant Agreements (Currencyshares Australian Dollar Trust), Participant Agreements (Currencyshares British Pound Sterling Trust)

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TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: Type of order (Check Creation or Redemption please) (One Basket CU = 50,000 FXC SharesFXC) Number Creation of Baskets SurrenderedFXC’s Redemption of FXC’s # Of Creation Units (CU) Transacted: Number: Order # Number written out: This Redemption Purchase Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares Canadian Dollar Currency Trust as currently in effect and the Authorized Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth Forth in such Depositary Trust Agreement and such the Authorized Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person Representative under the Authorized Participant Agreement and that he/she is authorized to deliver this Redemption Purchase Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Dollar Amount disseminated the previous business day and recognizes the final Basket ounces of Canadian Dollar Amount represented will be decreased based on the Trust’s Trusts daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Dollar Amount and or cash required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order Form will serve as a legally binding contract for settlement in 3 business days. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Participant Agreement (Currencyshares Canadian Dollar Trust)

TO BE COMPLETED BY PARTICIPANT. Date: Broker Name: DTC Participant Number: Telephone Number: Time: Firm Name: Fax Number: Type of Order (Check Creation or Redemption): Creation of FXC Redemption of FXC Number of Creation Units (CU) Transacted (One Basket CU = 50,000 FXC Shares) FXC): Number: Number of Baskets SurrenderedWritten Out: Order # Number written out: This Redemption Order is subject to the terms and conditions of the Depositary Trust Agreement of the CurrencyShares CurrencyShares® Canadian Dollar Trust as currently in effect and the Participant Agreement between the Authorized Participant, the Trustee and the Sponsor named therein. All representations and warranties of the Authorized Participant set forth in such the Depositary Trust Agreement and such Participant Agreement are incorporated herein by reference and are true and accurate as of the date hereof. The undersigned does hereby certify as of the date set forth below that he/she is an Authorized Person under the Participant Agreement and that he/she is authorized to deliver this Redemption Order to the Trustee on behalf of the Authorized Participant. The Authorized Participant enters into this agreement based on an estimated Basket Canadian Dollar Amount disseminated the previous business day and recognizes the final Basket Canadian Dollar Amount represented will be increased or decreased based on the Trust’s daily accrual. At the conclusion of the trading day a final Final NAV will be disseminated to all Authorized Participants, and the Basket Canadian Dollar Amount and Transaction Fee required for the Redemption Order creation/redemption order entered into on this day will be finalized and this Redemption Order will serve as a legally binding contract for settlement in 3 2 business daysdays or as otherwise set forth in the Participant Agreement. Date Authorized Person’s Signature

Appears in 1 contract

Samples: Participant Agreements (Currencyshares Swiss Franc Trust)

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