Request for Financial Statements

In accordance with National Instrument 51-102 - Continuous Disclosure Obligations, shareholders may elect annually to have their names added to the issuer's Supplemental Mailing List for Interim Financial Statements with MD&A.

I HEREBY CERTIFY that I am a Shareholder of the Company, and as such, request that you provide me with the following:

Select: Interim Financial Statements with MD&A Annual Financial Statements with MD&A * Name:   First name Last name Mr. Ms. Mrs. * Address: * City: * Postal Code: * Province: Alberta Ontario British Columbia Quebec Manitoba Saskatchewan P.E.I. Nova Scotia New Brunswick Newfoundland Yukon North West Territories Nanuvit Other * Country: Canada United States Australia United Kingdom France Germany Spain Japan Korea Taiwan China Andorra United Arab Emirates Afghanistan Antigua And Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Antarctica Argentina American Samoa Austria Aruba Azerbaijan Bosnia and Herzegovina Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Bolivia Brazil Bahamas Bhutan Bouvet Island Botswana Belarus Belize Congo Switzerland Cook Islands Chile Cameroon Colombia Costa Rica Cuba Cape Verde Christmas Island Cyprus Czech Republic Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Eritrea Ethiopia Finland Fiji Islands Micronesia Faroe Islands Gabon Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia - The Guinea Guadeloupe Equatorial Guinea Greece Guatemala Guam Guinea-Bissau Guyana Hong Kong S.A.R. Honduras Croatia - Hrvatska Haiti Hungary Indonesia Ireland Israel India Iraq Iran Iceland Italy Jamaica Jordan Kenya Kyrgyzstan Cambodia Kiribati Comoros Saint Kitts And Nevis Korea, North Kuwait Cayman Islands Kazakhstan Laos Lebanon Saint Lucia Liechtenstein Sri Lanka Liberia Lesotho Lithuania Luxembourg Latvia Libya Morocco Monaco Moldova Madagascar Marshall Islands Mali Myanmar Mongolia Macau S.A.R. Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Malaysia Mozambique Namibia New Caledonia Norfolk Island Nicaragua Netherlands, The Norway Nepal Nauru Niue New Zealand Oman Panama Peru French Polynesia Papua new Guinea Philippines Pakistan Poland Pitcairn Island Puerto Rico Portugal Palau Paraguay Qatar Reunion Romania Russia Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore Saint Helena Slovenia Slovakia Sierra Leone San Marino Senegal Somalia Suriname Sao Tome and Principe El Salvador Syria Swaziland Chad Togo Thailand Tajikistan Tokelau Turkmenistan Tunisia Tonga East Timor Turkey Trinidad And Tobago Tuvalu Tanzania Ukraine Uganda Uruguay Uzbekistan Venezuela Virgin Islands - US Vietnam Vanuatu Samoa Yemen Mayotte Yugoslavia South Africa Zambia Zimbabwe Other Country Phone: Fax: * Email: Preferred method of communication: EmailMail * Required fields