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AUTHORIZATION TO APPEAR ON BEHALF OF A PARTY <br />(Please Type Or Print the Requested Information) <br />SIGNATURES MUST BE IN BLUE INK <br />I <br />of <br />(person's name) (title, if applicable) <br />(name of company, association, organization, etc. if applicable) <br />hereby delegate to <br />(person or entity's name) <br />the right to appear on behalf of at the Pre-hearing conference. <br />(company, association, organization, etc.) <br />SIGNED AND DATED THIS DAY OF~ , <br />If corporate attest (seal) <br />Authorized Signature (must be signed in blue ink) <br />Title: <br />State of ~ <br />County of <br />The forgoing instrument was acknowledged before me this day of , <br />by as of <br />Notary Public <br />My commission expires: <br />SIGNATURE MUST BE IN BLUE INK <br />11 <br />