CUMBERLAND RESOURCES LTD.
(the “Company”)
2004 Request for Annual and Interim Financial Statements
National Instrument 51-102 requires the Company to send annually to the registered holders and beneficial owners of its securities (“Securityholders”) a form to allow Securityholders to request a copy of the Company’s annual financial statements and related MD&A, interim financial statements and related MD&A, or both. If you wish to receive such mailings, please complete and return this form to:
Computershare Trust Company of Canada
100 University Avenue
9th Floor
Toronto, ON M5J 2Y1
The undersigned Securityholder hereby elects to receive:
Interim Financial Statements for the first, second and third financial quarters of 2004 and the related MD&A;
Annual Financial Statements for the fiscal year ended December 31, 2004 and related MD&A; or
BOTH – Interim financial statements and MD&A and the annual financial statements and related MD&A for the 2004 financial year.
Please note that a request form will be mailed each year and Securityholders must return such form each year to receive the documents indicated above.
Name: &nb sp;
Address:
Postal Code:
I confirm that I am abeneficial shareholder of the Company.
Signature of Securityholder: | | Date: | |
CUSIP: 23077R100 | | |
SCRIP COMPANY CODE: CBDQ | | |
CUMBERLAND RESOURCES LTD.
(the "Company")
2004 Request for Annual and Interim Financial Statements
National Instrument 51-102 requires the Company to send annually to the registered holders and beneficial owners of its securities ("Securityholders") a form to allow Securityholders to request a copy of the Corporation's annual financial statements and related MD&A, interim financial statements and related MD&A, or both. If you wish to receive such mailings, please complete and return this form to:
Computershare Trust Company of Canada
100 University Avenue
9th Floor
Toronto, ON M5J 2Y1
The undersigned Securityholder hereby elects to receive:
Interim Financial Statements for the first, second and third financial quarters of 2004 and the related MD&A;
Annual Financial Statements for the fiscal year ended December 31, 2004 and related MD&A; or
BOTH - Interim financial statements and MD&A and the annual financial statements and related MD&A for the 2004 financial year.
Please note that a request form will be mailed each year and Securityholders must return such form each year to receive the documents indicated above.
Name: &nb sp;
Address:
Postal Code:
I confirm that I am aregistered shareholder of the Company.
Signature of Securityholder: | | Date: | |
CUSIP: 23077R100 | | |
SCRIP COMPANY CODE: CBDQ | | |