Common use of TO BE COMPLETED BY TRUSTEE Clause in Contracts

TO BE COMPLETED BY TRUSTEE. This certifies that the above order has been: Accepted by the Trustee Declined-Reason: Final # of Canadian Dollars Final # of FXC Shares Date Time Authorized Signature of Trustee EXHIBIT C CURRENCYSHARES CANADIAN DOLLAR TRUST REDEMPTION ORDER FORM THE BANK OF NEW YORK, TRUSTEE CONTACT INFORMATION FOR ORDER EXECUTION: Telephone order number: (000) 000-0000 or 4967 Fax order number: (000) 000-0000 Depository Instructions (000-000-0000)/SWIFT [ ] Participant must complete all items in Part I. The Trustee, in its discretion may reject any order not submitted in complete form.