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GOLD RESERVE LTD.

(the “Corporation”)

Supplemental Mailing List Return Card

Fiscal Year: 2024

 

Under securities regulations and in accordance with National Instrument 51-102 – Continuous Disclosure Obligations, registered and beneficial securityholders of the Corporation may elect annually to receive a copy of the Corporation’s annual financial statements and corresponding management discussion and analysis (“MD&A”) or interim financial statements and the corresponding MD&A, or both.

If you wish to receive these documents by mail, please return this completed form to:

 

Computershare Investor Services

P.O. Box 43006

Providence, RI 02940-3006

 

Rather than receiving the financial statements and MD&A by mail, you may choose to view these documents on the Corporation’s SEDAR+ profile at www.sedarplus.ca.

I HEREBY CERTIFY that I am a registered and/or beneficial securityholder of the Corporation, and as such, request that my name be placed on the Corporation’s Mailing List in respect of its annual and/or interim financial statements and the corresponding MD&A for the current financial year.

 

Please send me:

 

 

 

 

PLEASE PRINT

Annual Financial Statements and MD&A

(Mark this box if you would like to receive the Annual Financial Statements and associated MD&A by mail)

Interim Financial Statements and MD&A

(Mark this box if you would like to receive the Interim Financial Statements and associated MD&A by mail)

 

FIRST NAME LAST NAME

 

 

ADDRESS

 

CITY PROVINCE/ STATE POSTAL / ZIP CODE

 

 

COUNTRY

 

SIGNED:

(Signature of Securityholder)

 

IF THIS IS AN ADDRESS CHANGE, PLEASE CHECK HERE:

(Please provide previous address below)